AXIS RESIDENTIAL TREATMENT LLC
NPI 1710104807
Substance Abuse Rehabilitation Facility in Indian Wells, CA

Q: What is Axis Residential Treatment LLC's NPI number?

The NPI number for Axis Residential Treatment LLC is 1710104807. It was assigned to this organization in the NPPES registry on April 19, 2007.

Q: What is Axis Residential Treatment LLC's specialty?

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

Active since April 19, 2007

75450 FAIRWAY DR, INDIAN WELLS, CA 92210(760) 469-8275(760) 346-8032 Get Directions Write a Review

NPPES record last updated: July 31, 2008. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Axis Residential Treatment Llc NPPES

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

AXIS RESIDENTIAL TREATMENT LLC (NPI 1710104807) is a healthcare organization registered as a substance abuse rehabilitation facility in Indian Wells, California and active in the NPI registry since April 2007. The organization lists Brad T Keith, Ceo, as its authorized official.

NPPES Registry Identity

NPI1710104807

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NameAXIS RESIDENTIAL TREATMENT LLC

Location Address75450 FAIRWAY DRIndian Wells, CA 92210-8421

Mailing Address75450 Fairway DrIndian Wells, CA 92210-8421 · (760) 469-8275 · Fax (760) 346-8032

Phone(760) 469-8275

Fax(760) 346-8032

Organization SubpartNo

Authorized OfficialBrad T KeithCeo · (310) 435-6298

Enumeration DateApril 19, 2007

Last NPPES UpdateJuly 31, 2008

✔ NPI 1710104807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities

Taxonomy Code324500000X

License✔ Licensed in CA · 330082AP

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.

75450 FAIRWAY DR, Indian Wells, CA 92210

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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 Axis Residential Treatment LLC's NPI number?

The NPI number for Axis Residential Treatment LLC is 1710104807. It was assigned to this organization in the NPPES registry on April 19, 2007.

Where is Axis Residential Treatment LLC located?

Axis Residential Treatment LLC is located at 75450 Fairway Dr, Indian Wells, CA 92210. The listed phone number is (760) 469-8275.

What is Axis Residential Treatment LLC'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 Axis Residential Treatment LLC was last updated on July 31, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.