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MONARCH RECOVERY STC LLC NPI 1992441364


NPI Information

NPI: 1992441364
Provider Name: MONARCH RECOVERY STC LLC

Doing Business As: MONARCH RECOVERY INTENSIVE OUTPATIENT PROGRAM

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 05D2298003

Address:
2660 E MAIN ST STE 204
VENTURA, CA
ZIP 93003
Phone: (805) 850-2686
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MONARCH RECOVERY STC LLC is a rehabilitation and substance use disorder clinic center in Ventura, CA. MONARCH RECOVERY STC LLC NPI is 1992441364. The provider is registered as an organization entity type.
The provider Is Doing Business As Monarch Recovery Intensive Outpatient Program.

The provider's business location address is:

2660 E MAIN ST STE 204
VENTURA, CA
ZIP 93003-777
Phone: (805) 850-2686

The provider's authorized official is Shaun Belanger .
The authorized official title is Ceo and has the following contact phone number (805) 850-2686.

The CLIA number assigned to this NPI record is 05D2298003 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/9/2022 and was last updated on 3/30/2023.


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
1324500000XSubstance Abuse Rehabilitation FacilityNo
2261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

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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