Individual provider · Type 1 NPI
Edmund W. Lewis
Substance Abuse Rehabilitation Facility · Victorville, CA
NPI number
1225357791
Active
Practice location
13333 Palmdale Rd
Victorville, CA 92392-9364
Fax (760) 241-8911
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | RW2973 (CA) |
Substance Abuse Rehabilitation Facility: 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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About NPI 1225357791
Edmund W. Lewis's National Provider Identifier is 1225357791, issued on May 24, 2010. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Victorville, CA. The record was last updated on May 24, 2010.