Bondage Breaker Recovery Service in Red Bluff - Substance Abuse Rehabilitation Facility
Bondage Breaker Recovery Service - NPI 1265640403
Bondage Breaker Recovery Service is a Substance Abuse Rehabilitation Facility in Red Bluff, California. Bondage Breaker Recovery Service practices all healthcare services and medical treatments related to Substance Abuse Rehabilitation Facility. The NPI Number for Bondage Breaker Recovery Service is 1265640403. The last update date is 2020-08-22.
Bondage Breaker Recovery Service's current location address is Po Box 8652, Red Bluff, California. You can contact this provider via phone number 5305290634 and fax number 5305290650. The mailing address for Bondage Breaker Recovery Service is Po Box 8652, Red Bluff, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bondage Breaker Recovery Service |
|---|---|
| Address | Po Box 8652, Red Bluff, California |
| Phone Number | 5305290634 |
| Fax Number | 5305290650 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Heggie Dewayne Ross |
| Credentials | CAS |
| Telephone Number | 5305290634 |
NPI Number Detail
| NPI Number | 1265640403 |
|---|---|
| Provider Enumeration Date | 2007-05-20 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 8652 |
|---|---|
| City | Red Bluff |
| State | California (CA) |
| Post Code | 960808652 |
| Phone Number | 5305290634 |
| Fax Number | 5305290650 |
Provider's Primary Taxonomy Detail
| Speciality | Substance Abuse Rehabilitation Facility |
|---|---|
| Taxonomy | 324500000X |
| Licence No | 520003AN |
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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 10-digit identifier code assigned to Bondage Breaker Recovery Service by the Centers for Medicare & Medicaid Services?
The Bondage Breaker Recovery Service has been issued the NPI (National Provider Identifier) 1265640403 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Bondage Breaker Recovery Service?
The Bondage Breaker Recovery Service is situated at Po Box 8652, in the city of Red Bluff, state of CA, with the zip code 960808652.
What is Bondage Breaker Recovery Service's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Bondage Breaker Recovery Service's specialized field of practice is Substance Abuse Rehabilitation Facility, and the corresponding taxonomy code that categorizes this area of specialization is 324500000X.
On what date was the 1265640403 assigned to Bondage Breaker Recovery Service?
The Bondage Breaker Recovery Service was issued its 1265640403 on 2007-05-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Bondage Breaker Recovery Service, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Bondage Breaker Recovery Service, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.