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DOMUS RETREAT LLC NPI 1851684468


NPI Information

NPI: 1851684468
Provider Name: DOMUS RETREAT, LLC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
270 S ORANGE ACRES DR
ANAHEIM, CA
ZIP 92807
Phone: (310) 246-1323
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DOMUS RETREAT, LLC is a substance abuse rehabilitation facility in Anaheim, 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. DOMUS RETREAT, LLC NPI is 1851684468. The provider is registered as an organization entity type.

The provider's business location address is:

270 S ORANGE ACRES DR
ANAHEIM, CA
ZIP 92807-617
Phone: (310) 246-1323

The provider's authorized official is Clare Waismann .
The authorized official title is Manager and has the following contact phone number (310) 205-0808.

The enumeration date for this NPI number is 5/16/2011 and was last updated on 5/16/2011.


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 Facility300203APCALIFORNIAYes

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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