Organization · Type 2 NPI
Axis Residential Treatment LLC
Substance Abuse Rehabilitation Facility · Indian Wells, CA
NPI number
1710104807
Active
Practice location
75450 Fairway Dr
Indian Wells, CA 92210-8421
Fax (760) 346-8032
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | 330082AP (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.
About NPI 1710104807
Axis Residential Treatment LLC's National Provider Identifier is 1710104807, issued on Apr 19, 2007. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Indian Wells, CA. The record was last updated on Jul 31, 2008.