BODHI ADDICTION TREATMENT AND WELLNESS
NPI 1174113963
Clinic/Center - Rehabilitation, Substance Use Disorder in Capitola, CA
About Bodhi Addiction Treatment And Wellness NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BODHI ADDICTION TREATMENT AND WELLNESS (NPI 1174113963) is a healthcare organization registered as a rehabilitation, substance use disorder in Capitola, California and active in the NPI registry since January 2021. The organization lists Jonathan Beazley, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Bodhi Addiction Treatment And Wellness's NPI number?
The NPI number for Bodhi Addiction Treatment And Wellness is 1174113963. It was assigned to this organization in the NPPES registry on January 25, 2021.
Where is Bodhi Addiction Treatment And Wellness located?
Bodhi Addiction Treatment And Wellness is located at 603 Capitola Ave, Capitola, CA 95010. The listed phone number is (831) 600-6021.
What is Bodhi Addiction Treatment And Wellness's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.
When was this NPI record last updated?
The NPPES record for Bodhi Addiction Treatment And Wellness was last updated on January 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Bodhi Addiction Treatment And Wellness · NPI 1174113963
Rehabilitation, Substance Use Disorder organization in Capitola, California. Organization record, active in the CMS NPPES registry since January 25, 2021.
## Identity
- **NPI:** 1174113963 (Entity type: Organization)
- **Enumerated:** January 25, 2021
- **Primary specialty:** Clinic/Center - Rehabilitation, Substance Use Disorder · taxonomy 261QR0405X
- **Organization subpart:** No
- **Authorized official:** Jonathan Beazley, OWNER
## Practice location
- **Address:** 603 CAPITOLA AVE, Capitola, CA 95010-2751
- **Phone:** (831) 600-6021
## Record status
- **NPPES last updated:** January 26, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1174113963) · Data from the CMS NPPES public registry.