COACHELLA VALLEY TREATMENT CENTER


Address: 81709 Dr Carreon Blvd Ste B1, Indio, CA 92201-5510
Phone: 8184411049

COACHELLA VALLEY TREATMENT CENTER (NPI# 1013448547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013448547
Entity Type Organization
Organization Name COACHELLA VALLEY TREATMENT CENTER
Practice Address 81709 Dr Carreon Blvd Ste B1
Indio
CA 92201-5510
Mailing Address 815 S Central Ave Ste 5
Glendale
CA 91204-2074
Practice Telephone 8184411049
Mailing Telephone 8184411049
Enumeration Date 2017-03-26
Last Update Date 2017-03-26
Authorized Official Name MARIAM M NIKOGOSYAN (PROGRAM DIRECTOR)
Authorized Official Telephone 8184411049
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2800X Clinic/Center
Specialization: Methadone Clinic
Ambulatory Health Care Facilities

Office Location

Street Address 81709 DR CARREON BLVD STE B1
City INDIO
State CA
Zip Code 92201-5510

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Taxonomy Information

Taxonomy Code 261QM2800X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Methadone Clinic

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952440307 Wchs, Inc Clinic/Center 83912 Avenue 45, Suite 8, Indio, CA 92201-3338 2007-02-05

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1548899644 Bella Team Ltd. Clinic/Center 2618 San Miguel Dr Ste 1288, Newport Beach, CA 92660-5437 2020-04-02
1386280899 Western Pacific Med-corp Clinic/Center 26921 Crown Valley Pkwy Ste 200, Mission Viejo, CA 92691-6501 2019-11-19
1518501527 Harmonic Solutions LLC Clinic/Center 1776 Ygnacio Valley Rd Ste 206, Walnut Creek, CA 94598-3125 2019-11-01
1326698887 Aegis Treatment Centers, LLC Clinic/Center 2107, 2109 & 2113 1st St, Eureka, CA 95501-0840 2019-09-17
1548819550 Aegis Treatment Centers, LLC Clinic/Center 1111 W Inyokern Rd Ste B, Ridgecrest, CA 93555-2370 2019-09-11
1306326699 Kristen Andree Rickard Clinic/Center 1153 Paradise Trail Rd, Chula Vista, CA 91915-2502 2018-08-16
1083141600 Baart Behavioral Health Services, Inc. Clinic/Center 1145 Market St Fl 10, San Francisco, CA 94103-1566 2017-05-13
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Competitor

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City INDIO
Zip Code 92201

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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