RANCH CREEK RECOVERYINC. NPI 1700410958

NPI Information

RANCH CREEK RECOVERY,INC. is a substance abuse rehabilitation facility in Temecula, 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. RANCH CREEK RECOVERY,INC. NPI is 1700410958. The provider is registered as an organization entity type.

The provider's business location address is:

43264 BUSINESS PARK DR STE 101
TEMECULA, CA
ZIP 92590-646
Phone: (951) 696-9200
Fax: (951) 695-9366

The provider's authorized official is Shelly Tichelaar .
The authorized official title is President and has the following contact phone number (714) 396-5413.

The CLIA number assigned to this NPI record is 05D2117972 - other - rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/26/2020 and was last updated on 2/26/2020.

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:

Other Identifiers

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