Organization · Type 2 NPI

Riverside County Latino Commission On Alcohol and Drug Abuse Services

Children's Substance Abuse Rehabilitation Facility · Coachella, CA

NPI number 1497291819 Active

Practice location

50173 Calle Marbella
Coachella, CA 92236

Call (760) 398-9000 Map

Fax (760) 398-9790

Mailing address

1612 First Street
Coachella, CA 92236

Specialties and licenses

Taxonomy	Code	License
Substance Abuse Rehabilitation Facility	324500000X	None listed
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.

6 other providers at this address

NPI record

NPI: 1497291819
Entity type: Organization (Type 2)
Issued: Jan 9, 2017
Last updated: Mar 30, 2023
Status: Active
Subpart: Yes of Riverside County Latino Commission On Alcohol and Drug Abuse Services

Other names

<unavail>
Bea's Detox Home for Men · doing business as
Bea's Youth Treatment Home for Girls · doing business as
Bea's Youth Treatment Home for Girls · 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 1497291819

Riverside County Latino Commission On Alcohol and Drug Abuse Services's National Provider Identifier is 1497291819, issued on Jan 9, 2017. The primary taxonomy on file is Children's Substance Abuse Rehabilitation Facility (3245S0500X), and the practice location is in Coachella, CA. The record was last updated on Mar 30, 2023.