Healthcare Provider Details

I. General information

NPI: 1194735829
Provider Name (Legal Business Name): WCHS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2006
Last Update Date: 10/24/2024
Certification Date: 10/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1021 W LA CADENA DR
RIVERSIDE CA
92501-1413
US

IV. Provider business mailing address

6183 PASEO DEL NORTE, STE 200
CARLSBAD CA
92011-1151
US

V. Phone/Fax

Practice location:
  • Phone: 951-784-8010
  • Fax: 951-784-2859
Mailing address:
  • Phone: 855-259-2288
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2800X
TaxonomyMethadone Clinic
License Number
License Number State

VIII. Authorized Official

Name: BRIAN PHILLIP FARLEY
Title or Position: VP & SECRETARY
Credential:
Phone: 615-861-6000