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1831845510 NPI number — SERENITY COTTAGES OF THE DESERT

NPI Number: 1831845510
Health Care Provider/Practitioner: SERENITY COTTAGES OF THE DESERT

Information about “1831845510” NPI (SERENITY COTTAGES OF THE DESERT) exists in 1831845510 in HTML format HTML  |  1831845510 in plain Text format TXT  |  1831845510 in PDF (Portable Document Format) PDF  |  1831845510 in an XML format XML  formats.

NPI Number : 1831845510 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1831845510",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "SERENITY COTTAGES",
    "ParentOrgTIN": null,
    "OrgName": "SERENITY COTTAGES OF THE DESERT",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1897 E COLTON AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "REDLANDS",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92374-9797",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "909-389-8582",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "57131 LAKEVIEW RD.",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BAKER",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92309-9230",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "909-389-8582",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/22/2022",
    "LastUpdateDate": "10/14/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "HERRERA",
    "AuthorizedOfficialFirstName": "MIKE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "COO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": "III",
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "909-389-8582",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QR0405X",
        "TaxonomyName": "Substance Use Disorder Rehabilitation Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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