Providence Recovery Center, Inc. in Capitola - Substance Abuse Rehabilitation Facility
Providence Recovery Center, Inc. - NPI 1164511465
Providence Recovery Center, Inc. is a Substance Abuse Rehabilitation Facility in Capitola, California. Providence Recovery Center, Inc. practices all healthcare services and medical treatments related to Substance Abuse Rehabilitation Facility. The NPI Number for Providence Recovery Center, Inc. is 1164511465. The last update date is 2010-05-18.
Providence Recovery Center, Inc.'s current location address is Po Box 701, Capitola, California. You can contact this provider via phone number 8314751326 and fax number 8314757881. The mailing address for Providence Recovery Center, Inc. is Po Box 701, Capitola, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Providence Recovery Center, Inc. |
|---|---|
| Address | Po Box 701, Capitola, California |
| Phone Number | 8314751326 |
| Fax Number | 8314757881 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Porter Jane Claudia |
| Credentials | CAC |
| Telephone Number | 8314751326 |
NPI Number Detail
| NPI Number | 1164511465 |
|---|---|
| Provider Enumeration Date | 2006-10-12 |
| Last Updated Date | 2010-05-18 |
Provider Mailing Address Detail
| Address | Po Box 701 |
|---|---|
| City | Capitola |
| State | California (CA) |
| Post Code | 950100701 |
| Phone Number | 8314751326 |
| Fax Number | 8314757881 |
Provider's Primary Taxonomy Detail
| Speciality | Substance Abuse Rehabilitation Facility |
|---|---|
| Taxonomy | 324500000X |
| Licence No | 440013AP |
|
Definition: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
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Post Comment/ Review Below
What is the unique identifier code issued to Providence Recovery Center, Inc. by the Centers for Medicare & Medicaid Services (CMS)?
The Providence Recovery Center, Inc. has been assigned the NPI (National Provider Identifier) 1164511465. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Providence Recovery Center, Inc. is physically located?
The Providence Recovery Center, Inc. is situated at the following address: Po Box 701, Capitola, CA 950100701.
What is the Providence Recovery Center, Inc.'s area of specialization and corresponding taxonomy classification?
The Providence Recovery Center, Inc.'s specialty field is Substance Abuse Rehabilitation Facility, and it falls under the taxonomy code 324500000X, which categorizes healthcare providers based on their specialties.
When was the Providence Recovery Center, Inc.'s 1164511465 issued?
The Providence Recovery Center, Inc.'s 1164511465 was issued on 2006-10-12.
When was the Providence Recovery Center, Inc.'s information last updated?
The Providence Recovery Center, Inc.'s information was last updated on 2010-05-18.
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