Healthcare Provider Details

I. General information

NPI: 1144777897
Provider Name (Legal Business Name): BAKERSFIELD RECOVERY SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2016
Last Update Date: 03/19/2026
Certification Date: 03/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

531 KNOTTS ST
BAKERSFIELD CA
93305-3043
US

IV. Provider business mailing address

PO BOX 3218
BAKERSFIELD CA
93385-3218
US

V. Phone/Fax

Practice location:
  • Phone: 661-237-8200
  • Fax: 661-325-3929
Mailing address:
  • Phone: 661-325-1817
  • Fax: 661-325-3929

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number150004CN
License Number StateCA
# 5
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. GILBERT LAROQUE
Title or Position: DIRECTOR
Credential: CADC II
Phone: 661-325-1817