AXIS RESIDENTIAL TREATMENT LLC
NPI 1710104807
Substance Abuse Rehabilitation Facility in Indian Wells, CA
- Organization
- Substance Abuse Rehabilitation Facility
About AXIS RESIDENTIAL TREATMENT LLC
This page provides the complete NPI Profile along with additional information for Axis Residential Treatment Llc, a provider established in Indian Wells, California operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1710104807 assigned on April 2007. The practitioner's primary taxonomy code is 324500000X with license number 330082AP (CA). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Brad T Keith Ccdc Cad Ca (Ceo)
- NPI
- 1710104807 Verify this NPI
- Provider Name
- AXIS RESIDENTIAL TREATMENT LLC
- Entity Type
- Organization
- Location Address
- 75450 FAIRWAY DR INDIAN WELLS, CA 92210
- Location Phone
- (760) 469-8275
- Location Fax
- (760) 346-8032
- Mailing Address
- 75450 FAIRWAY DR INDIAN WELLS, CA 92210
- Mailing Phone
- (760) 469-8275
- Mailing Fax
- (760) 346-8032
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-19-2007
- Last Update Date
- 07-31-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Substance Abuse Rehabilitation Facility
- Taxonomy Code
- 324500000X
- Type
- Residential Treatment Facilities
- License No.
- 330082AP
- License State
- CA
- Taxonomy Description
- 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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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710104807, enumerated as an "organization" on April 19, 2007.
The provider is located at 75450 FAIRWAY DR INDIAN WELLS, CA 92210 and the phone number is (760) 469-8275.
Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.
