Organization · Type 2 NPI

Riverside County Latino Commission On Alcohol and Drug Abuse Services

Children's Substance Abuse Rehabilitation Facility · Indio, CA

NPI number 1235675646 Active

Practice location

43485 Hollyhock St
Indio, CA 92201-1976

Call (760) 398-8800 Map

Fax (760) 398-9790

Mailing address

1612 1st St
Coachella, CA 92236-1407

Specialties and licenses

Taxonomy	Code	License
Children's Substance Abuse Rehabilitation Facility Primary	3245S0500X	None listed

Children's 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 children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

9 other providers at this address

NPI record

NPI: 1235675646
Entity type: Organization (Type 2)
Issued: Jan 9, 2017
Last updated: Mar 14, 2018
Status: Active
Subpart: Yes of Riverside County Latino Commission On Alcohol and Drug Abuse Services

Other names

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Michael's Youth Treatment Home for Boys · doing business as

Authorized official

Leonel Contreras
Executive Director
(760) 398-9000

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1235675646

Riverside County Latino Commission On Alcohol and Drug Abuse Services's National Provider Identifier is 1235675646, issued on Jan 9, 2017. The primary taxonomy on file is Children's Substance Abuse Rehabilitation Facility (3245S0500X), and the practice location is in Indio, CA. The record was last updated on Mar 14, 2018.