INTEGRALIFE HEALTH & TRAUMA INSTITUTE LLC NPI 1760869770

NPI Information

  • NPI: 1760869770
  • Provider Name: INTEGRALIFE HEALTH & TRAUMA INSTITUTE, LLC
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • Address: 12730 HEACOCK ST
    SUITE 7
    MORENO VALLEY, CA
    ZIP 92553
  • Phone: (951) 221-3460

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NPI Details

INTEGRALIFE HEALTH & TRAUMA INSTITUTE, LLC is a community behavioral health in Moreno Valley, CA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. INTEGRALIFE HEALTH & TRAUMA INSTITUTE, LLC NPI is 1760869770. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12730 HEACOCK ST
SUITE 7
MORENO VALLEY, CA
ZIP 92553-070
Phone: (951) 221-3460
Fax: (951) 924-0250

The provider's authorized official is Blessing A. Okoro Rellias .
The authorized official title is President & Ceo and has the following contact phone number (951) 221-3460.

The enumeration date for this NPI number is 4/28/2015 and was last updated on 4/28/2015.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YM0800XCounselorMental HealthNo
3101YP2500XCounselorProfessionalNo
41041C0700XSocial WorkerClinicalNo
5106H00000XMarriage & Family TherapistNo
6252Y00000XEarly Intervention Provider AgencyNo
7251S00000XCommunity/Behavioral HealthYes

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: 3/30/2025

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