Pacific Valley Recovery Center Incorporated in Stockton - Rehabilitation, Substance Use Disorder
Pacific Valley Recovery Center Incorporated - NPI 1558554915
Pacific Valley Recovery Center Incorporated is a Rehabilitation, Substance Use Disorder in Stockton, California. Pacific Valley Recovery Center Incorporated practices all healthcare services and medical treatments related to Rehabilitation, Substance Use Disorder. The NPI Number for Pacific Valley Recovery Center Incorporated is 1558554915. The last update date is 2007-08-20.
Pacific Valley Recovery Center Incorporated's current location address is 2491 Burlington Pl, Stockton, California. You can contact this provider via phone number 2098175720. The mailing address for Pacific Valley Recovery Center Incorporated is 2491 Burlington Pl, Stockton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pacific Valley Recovery Center Incorporated |
|---|---|
| Address | 2491 Burlington Pl, Stockton, California |
| Phone Number | 2098175720 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO/DIRECT |
|---|---|
| Authorized Official Name | Hudson Ruth Charlsie |
| Telephone Number | 2098175720 |
NPI Number Detail
| NPI Number | 1558554915 |
|---|---|
| Provider Enumeration Date | 2007-08-20 |
| Last Updated Date | 2007-08-20 |
Provider Mailing Address Detail
| Address | 2491 Burlington Pl |
|---|---|
| City | Stockton |
| State | California (CA) |
| Post Code | 952094029 |
| Phone Number | 2098175720 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Rehabilitation, Substance Use Disorder |
|---|---|
| Taxonomy | 261Qr0405X |
| Licence No | 390030AN |
|
Definition: Provides therapeutic interventions to treat alcohol and drug addiction. |
|
Post Comment/ Review Below
What is the Pacific Valley Recovery Center Incorporated's 1558554915?
The Pacific Valley Recovery Center Incorporated's NPI (National Provider Identifier) Number is 1558554915. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Pacific Valley Recovery Center Incorporated's facilities are situated?
The facilities of Pacific Valley Recovery Center Incorporated are physically located at the following address: 2491 Burlington Pl, Stockton, CA, 952094029.
What is the Pacific Valley Recovery Center Incorporated's area of specialization and corresponding taxonomy classification?
The Pacific Valley Recovery Center Incorporated's specialty field is Rehabilitation, Substance Use Disorder, and it falls under the taxonomy code 261Qr0405X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1558554915 to Pacific Valley Recovery Center Incorporated?
The Centers for Medicare & Medicaid Services originally issued the 1558554915 to Pacific Valley Recovery Center Incorporated on 2007-08-20.
When was the Pacific Valley Recovery Center Incorporated's information last updated?
The Pacific Valley Recovery Center Incorporated's information was last updated on 2007-08-20.
NPI Number: 1437156635
Address: 61 Corporate Cir, New Castle, DE
NPI Number: 1255325304
Address: 225 Abraham Flexner Way Ste 650, Louisville, KY