MEDICARE: INTERVENTION 911

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	324500000X	Substance Abuse Rehabilitation Facility

General Provider Information

NPI Number	:	1922571496
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTERVENTION 911

Provider Business Mailing Address
First Line	:	1990 E CALLE FELICIA
Second Line	:
City	:	PALM SPRINGS
State	:	CA
Zip	:	92262-7130
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1990 E CALLE FELICIA
Second Line	:
City	:	PALM SPRINGS
State	:	CA
Zip	:	92262-7130
Country	:	US
Telephone Number	:	866-888-4911
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ERIC MCLAUGHLIN
Credential	:
Telephone Number	:	323-401-3660

Provider Enumeration Date	:	01/08/2019
Last Update Date	:	01/19/2021

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Directions to “INTERVENTION 911 ” Practice Location

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