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BAKERSFIELD RECOVERY SERVICES LINCOLN STREET RETREAT NPI 1699807503


NPI Information

NPI: 1699807503
Provider Name: BAKERSFIELD RECOVERY SERVICES, LINCOLN STREET RETREAT

Doing Business As: C.B.C.C INC.

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 05D2171359

Address:
708 LINCOLN ST
BAKERSFIELD, CA
ZIP 93305
Phone: (661) 869-1795
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BAKERSFIELD RECOVERY SERVICES, LINCOLN STREET RETREAT is a substance abuse rehabilitation facility in Bakersfield, CA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. BAKERSFIELD RECOVERY SERVICES, LINCOLN STREET RETREAT NPI is 1699807503. The provider is registered as an organization entity type.
The provider Is Doing Business As C.b.c.c Inc..

The provider's business location address is:

708 LINCOLN ST
BAKERSFIELD, CA
ZIP 93305-711
Phone: (661) 869-1795
Fax: (661) 869-1794

The provider's authorized official is Gilbert Laroque .
The authorized official title is Director and has the following contact phone number (661) 325-1817.

The CLIA number assigned to this NPI record is 05D2171359 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/9/2007 and was last updated on 5/8/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation Facility150004GNCALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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