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NPI 1942823471

NPI 1942823471 : THE RIGHT TIME RECOVERY CENTER : WEST COVINA, CA

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General NPI Number Information
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    NPI Number           |    1942823471
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    Entity Type          |    Organization 
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    Legal Business Name  |    THE RIGHT TIME RECOVERY CENTER 
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Dates
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    Enumeration Date     |    05/19/2020
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    Last Update Date     |    06/04/2020
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Provider Practice Location Address
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    Address Line         |    2808 E CORTEZ ST 
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    City                 |    WEST COVINA
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    State                |    CA
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    Zip                  |    91791-2940
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    Country              |    US
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    Telephone            |    909-658-4181
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1316 S HALINOR AVE 
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    City                 |    WEST COVINA
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    State                |    CA
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    Zip                  |    91790-2415
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    Country              |    US
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    Telephone            |    909-658-4181
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    Fax                  |    626-343-5162
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     CARLOS A RAMIREZ 
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    Credential           |    
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    Telephone            |    909-658-4181
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    261QM0850X
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    Taxonomy Name        |    Adult Mental Health Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    261QR0401X
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    Taxonomy Name        |    Comprehensive Outpatient Rehabilitation Facility (CORF)
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    261QR0405X
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    Taxonomy Name        |    Substance Use Disorder Rehabilitation Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    324500000X
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    Taxonomy Name        |    Substance Abuse Rehabilitation Facility
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    
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    License Number State |    
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