CITY RECOVERY INTENSIVE OUTPATIENT PROGRAM NPI 1871131078

NPI Information

NPI: 1871131078
Provider Name: CITY RECOVERY INTENSIVE OUTPATIENT PROGRAM
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
1100 W TOWN AND COUNTRY RD STE 1208
ORANGE, CA
ZIP 92868
Phone: (714) 225-5994
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CITY RECOVERY INTENSIVE OUTPATIENT PROGRAM is a rehabilitation and substance use disorder clinic center in Orange, CA. CITY RECOVERY INTENSIVE OUTPATIENT PROGRAM NPI is 1871131078. The provider is registered as an organization entity type.

The provider's business location address is:

1100 W TOWN AND COUNTRY RD STE 1208
ORANGE, CA
ZIP 92868-600
Phone: (714) 225-5994

The provider's authorized official is Jaman Eley .
The authorized official title is Chief Of Operations and has the following contact phone number (714) 225-5994.

The enumeration date for this NPI number is 12/18/2019 and was last updated on 12/20/2019.

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
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			Yes

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: 11/14/2023

NPI Synchronization or Removal

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