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1568890622 NPI number — RIVERSIDE COUNTY LATINO COMMISSION ON ALCOHOL AND DRUG SERVICES, INC

NPI Number: 1568890622
Health Care Provider/Practitioner: RIVERSIDE COUNTY LATINO COMMISSION ON ALCOHOL AND DRUG SERVICES, INC

Information about “1568890622” NPI (RIVERSIDE COUNTY LATINO COMMISSION ON ALCOHOL AND DRUG SERVICES, INC) exists in 1568890622 in HTML format HTML  |  1568890622 in plain Text format TXT  |  1568890622 in PDF (Portable Document Format) PDF  |  1568890622 in an XML format XML  formats.

NPI Number : 1568890622 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1568890622",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "RIVERSIDE COUNTY LATINO COMMISSION ON ALCOHOL AND DRUG SERVICES, INC.",
    "ParentOrgTIN": null,
    "OrgName": "RIVERSIDE COUNTY LATINO COMMISSION ON ALCOHOL AND DRUG SERVICES, INC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1612 1ST ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "COACHELLA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92236-1407",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "760-398-9000",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "83385 ROSA AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "THERMAL",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92274-9506",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "760-347-9442",
    "PracticeLocationAddressFaxNumber": "760-398-9790",
    "EnumerationDate": "10/28/2013",
    "LastUpdateDate": "02/27/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CONTRERAS",
    "AuthorizedOfficialFirstName": "LEONEL",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "EXECUTIVE DIRECTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "760-347-9442",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "324500000X",
        "TaxonomyName": "Substance Abuse Rehabilitation Facility",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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