MOUNTAIN SIDE BEHAVIORAL HEALTH LLC NPI 1891319695

NPI Information

  • NPI: 1891319695
  • Provider Name: MOUNTAIN SIDE BEHAVIORAL HEALTH LLC
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • Address: 1033 S AUBURN ST
    COLFAX, CA
    ZIP 95713
  • Phone: (888) 290-0925

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NPI Details

MOUNTAIN SIDE BEHAVIORAL HEALTH LLC is a substance abuse rehabilitation facility in Colfax, 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. MOUNTAIN SIDE BEHAVIORAL HEALTH LLC NPI is 1891319695. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1033 S AUBURN ST
COLFAX, CA
ZIP 95713-703
Phone: (888) 290-0925

The provider's authorized official is Aaron Estrada .
The authorized official title is Coo and has the following contact phone number (979) 948-4129.

The enumeration date for this NPI number is 6/8/2020 and was last updated on 11/13/2023.

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
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: 11/21/2025

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