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NPI Code Detail

MEDICARE: ABC RECOVERY CENTER

MEDICARE: ABC RECOVERY CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1324500000XSubstance Abuse Rehabilitation Facility330001ANCA

General Provider Information

NPI Number : 1073058525
Entity Type Code : Organization
Provider Name (Legal Business Name) : ABC RECOVERY CENTER
Provider Business Mailing Address
First Line : 44359 PALM ST
Second Line :
City : INDIO
State : CA
Zip : 92201-3116
Country : US
Telephone Number : 760-342-6616
Fax Number : 760-347-8276
Provider Business Practice Location Address
First Line : 44-415 PALM ST
Second Line :
City : INDIO
State : CA
Zip : 92201-3116
Country : US
Telephone Number : 760-342-6616
Fax Number : 760-347-8276
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : MS. CHRISTOPHER YINGLING
Credential :
Telephone Number : 760-342-6616
Provider Enumeration Date : 12/19/2016
Last Update Date : 12/19/2016

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Directions to “ABC RECOVERY CENTER ” Practice Location

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