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LIFESKILLS DEVELOPMENT NPI 1770032534


NPI Information

NPI: 1770032534
Provider Name: LIFESKILLS DEVELOPMENT
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
6095 SHEPHERD DR
SAN BERNARDINO, CA
ZIP 92407
Phone: (917) 981-0503
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LIFESKILLS DEVELOPMENT is a substance abuse rehabilitation facility in San Bernardino, 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. LIFESKILLS DEVELOPMENT NPI is 1770032534. The provider is registered as an organization entity type.

The provider's business location address is:

6095 SHEPHERD DR
SAN BERNARDINO, CA
ZIP 92407-251
Phone: (917) 981-0503

The provider's authorized official is Raymond Arthur Besse .
The authorized official title is Deputy Director and has the following contact phone number (917) 981-0503.

The enumeration date for this NPI number is 9/22/2016 and was last updated on 9/22/2016.


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
1322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenNo
2323P00000XPsychiatric Residential Treatment FacilityNo
3324500000XSubstance Abuse Rehabilitation FacilityYes

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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