WOMEN'S RESIDENTIAL TREATMENT PROGRAM
NPI 1851645394
Substance Abuse Rehabilitation Facility in Santa Monica, CA
- Organization
- Substance Abuse Rehabilitation Facility
About WOMEN'S RESIDENTIAL TREATMENT PROGRAM
This page provides the complete NPI Profile along with additional information for Women's Residential Treatment Program, a provider established in Santa Monica, California operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1851645394 assigned on November 2012. The practitioner's primary taxonomy code is 324500000X with license number 190016HN (CA). The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's other name is Women's Residential Treatment Program. The authorized official of this NPI record is Steve Glick (Chief Executive Officer)
- NPI
- 1851645394 Verify this NPI
- Provider Legal Name
- CLARE MATRIX
- Other Organization Name
- WOMEN'S RESIDENTIAL TREATMENT PROGRAM
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 844 PICO BLVD SANTA MONICA, CA 90405
- Location Phone
- (310) 314-6200
- Location Fax
- (310) 450-2024
- Mailing Address
- 909 PICO BLVD SANTA MONICA, CA 90405
- Mailing Phone
- (310) 314-6200
- Mailing Fax
- (310) 450-2024
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-06-2012
- Last Update Date
- 05-23-2023
- 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.
- 190016HN
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 190016FN | OTHER (01) | CA | STATE LICENSE |
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
SANTA MONICA, CA 90405
SANTA MONICA, CA 90405
SANTA MONICA, CA 90405
SANTA MONICA, CA 90405
SANTA MONICA, CA 90405
SANTA MONICA, CA 90405
SANTA MONICA, CA 90405
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1851645394, enumerated as an "organization" on November 06, 2012.
The provider is located at 844 PICO BLVD SANTA MONICA, CA 90405 and the phone number is (310) 314-6200.
Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
