Individual provider · Type 1 NPI

Linda Koenig

Substance Abuse Rehabilitation Facility · Riverside, CA

NPI number 1902074933 Active

Practice location

8310 Baxter Way
Riverside, CA 92504-4302

Fax (951) 689-9366

Mailing address

8172 Magnolia Ave
Riverside, CA 92504-3441

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000X330015CN (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 1902074933

Linda Koenig's National Provider Identifier is 1902074933, issued on Feb 12, 2008. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Riverside, CA. The record was last updated on Feb 12, 2008.