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NPI Code Detail

MEDICARE: PRACTICAL RECOVERY, INC.

MEDICARE: PRACTICAL RECOVERY, INC.
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 Facility

General Provider Information

NPI Number : 1235421207
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRACTICAL RECOVERY, INC.
Provider Business Mailing Address
First Line : 8950 VILLA LA JOLLA DR
Second Line : B214
City : LA JOLLA
State : CA
Zip : 92037-1714
Country : US
Telephone Number : 858-546-1100
Fax Number : 858-455-0141
Provider Business Practice Location Address
First Line : 2821 LANGE AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92122-3109
Country : US
Telephone Number : 858-246-6310
Fax Number : 858-246-7577
Authorized Official
Title or Position : OWNER
Name : DR. ARTHUR THOMAS HORVATH
Credential : PH.D.
Telephone Number : 858-888-5398
Provider Enumeration Date : 05/10/2011
Last Update Date : 05/10/2011

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Directions to “PRACTICAL RECOVERY, INC. ” Practice Location

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