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PH WELLNESS INC. NPI 1841957057


NPI Information

NPI: 1841957057
Provider Name: PH WELLNESS, INC.
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 05D2286432

Address:
7603 DUFFERIN AVE
RIVERSIDE, CA
ZIP 92504
Phone: (562) 884-9681
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PH WELLNESS, INC. is a substance abuse rehabilitation facility in Riverside, 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. PH WELLNESS, INC. NPI is 1841957057. The provider is registered as an organization entity type.

The provider's business location address is:

7603 DUFFERIN AVE
RIVERSIDE, CA
ZIP 92504-903
Phone: (562) 884-9681

The provider's authorized official is Matt Paz .
The authorized official title is Ceo and has the following contact phone number (562) 884-9681.

The CLIA number assigned to this NPI record is 05D2286432 - other - substance treatment facil with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/22/2021 and was last updated on 11/22/2021.


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
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
2324500000XSubstance 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: 5/5/2024

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