GATE OF RECOVERY INC. NPI 1912207267

NPI Information

NPI: 1912207267
Provider Name: GATE OF RECOVERY, INC.

Doing Business As: VANTAGE POINT RECOVERY

Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
123 HODENCAMP RD
SUITE 205
THOUSAND OAKS, CA
ZIP 91360
Phone: (805) 777-7595
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GATE OF RECOVERY, INC. is an adult mental health clinic center in Thousand Oaks, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. GATE OF RECOVERY, INC. NPI is 1912207267. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Vantage Point Recovery.

The provider's business location address is:

123 HODENCAMP RD
SUITE 205
THOUSAND OAKS, CA
ZIP 91360-896
Phone: (805) 777-7595
Fax: (805) 777-9249

The provider's authorized official is Minoo Shilati .
The authorized official title is Ceo and has the following contact phone number (805) 777-7595.

The CLIA number assigned to this NPI record is 05D2124199 - other - behavioral healthcare fac with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/2/2010 and was last updated on 3/8/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		LMFT 45424	CALIFORNIA	No
2	106H00000X	Marriage & Family Therapist		LMFT#45424	CALIFORNIA	No
3	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	560045AP	CALIFORNIA	No
4	261QM0850X	Clinic/Center	Adult Mental Health	560045AP	CALIFORNIA	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: 4/28/2024

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