Healthcare Provider Details

I. General information

NPI: 1083231088
Provider Name (Legal Business Name): PLAN-IT LIFE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2020
Last Update Date: 06/25/2020
Certification Date: 06/25/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43428 BREWSTER CT
TEMECULA CA
92592-4315
US

IV. Provider business mailing address

6235 RIVER CREST DR STE O
RIVERSIDE CA
92507-0758
US

V. Phone/Fax

Practice location:
  • Phone: 951-302-3868
  • Fax: 951-302-3580
Mailing address:
  • Phone: 951-653-7561
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: NYRON MCLEAN
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 951-653-7561