PINE RIDGE TREATMENT CENTERS, INC.
NPI 1366001604
Substance Abuse Rehabilitation Facility in Victorville, CA

Q: What is Pine Ridge Treatment Centers, Inc.'s NPI number?

The NPI number for Pine Ridge Treatment Centers, Inc. is 1366001604. It was assigned to this organization in the NPPES registry on June 11, 2019.

Q: What is Pine Ridge Treatment Centers, Inc.'s specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Active since June 11, 2019

15367 BONANZA RD, STE A, VICTORVILLE, CA 92392(760) 955-1012(760) 955-4811 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Pine Ridge Treatment Centers, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PINE RIDGE TREATMENT CENTERS, INC. (NPI 1366001604) is a healthcare organization registered as a substance abuse rehabilitation facility in Victorville, California and active in the NPI registry since June 2019. The organization lists Walter Giles, President/owner, as its authorized official.

NPPES Registry Identity

NPI1366001604

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NamePINE RIDGE TREATMENT CENTERS, INC.

Location Address15367 BONANZA RD, STE AVictorville, CA 92392

Mailing AddressPo Box 959Lucerne, CA 95458-0959 · (760) 248-9199 · Fax (760) 248-6479

Phone(760) 955-1012

Fax(760) 955-4811

Organization SubpartNo

Authorized OfficialWalter GilesPresident/owner · (909) 867-4404

Enumeration DateJune 11, 2019

✔ NPI 1366001604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities

Taxonomy Code324500000X

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.

15367 BONANZA RD, Victorville, CA 92392

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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 Pine Ridge Treatment Centers, Inc.'s NPI number?

The NPI number for Pine Ridge Treatment Centers, Inc. is 1366001604. It was assigned to this organization in the NPPES registry on June 11, 2019.

Where is Pine Ridge Treatment Centers, Inc. located?

Pine Ridge Treatment Centers, Inc. is located at 15367 Bonanza Rd Ste A, Victorville, CA 92392. The listed phone number is (760) 955-1012.

What is Pine Ridge Treatment Centers, Inc.'s specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Pine Ridge Treatment Centers, Inc. was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.