PAVISCH TREATMENT CENTERS, LLC


Address: 4241 Glenwood Dr, Riverside, CA 92501-3027
Phone: 9517851571

PAVISCH TREATMENT CENTERS, LLC (NPI# 1285802165) 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) 1285802165
Entity Type Organization
Organization Name PAVISCH TREATMENT CENTERS, LLC
Practice Address 4241 Glenwood Dr
Riverside
CA 92501-3027
Mailing Address 185 Kettle Crk
Beaumont
CA 92223-7313
Practice Telephone 9517851571
Mailing Telephone 9517698973
Enumeration Date 2008-02-13
Last Update Date 2008-02-13
Authorized Official Name MR. DENNIS MARTIN SCHOLL (EXECUTIVE DIRECTOR)
Authorized Official Telephone 9517698973
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 324500000X Substance Abuse Rehabilitation Facility 330088AP CA Residential Treatment Facilities

Office Location

Street Address 4241 GLENWOOD DR
City RIVERSIDE
State CA
Zip Code 92501-3027

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700437605 Mary Horvatin Technician 1811 Rivera Strret, Riverside, CA 92501 2019-09-23
1366905473 Timothy Daniel Collins Student in an Organized Health Care Education/Training Program Riverside Community Hospital, 4445 Magnolia Ave., Gme, Office, Riverside, CA 92501 2019-04-08
1346709672 Lourdes Adame Student in an Organized Health Care Education/Training Program 4445 Magnolia Ave - Gme Office, Riverside, CA 92501 2019-03-16
1740759067 Kristina Ferris-celosse Counselor 2452 Wilshire St., Riverside, CA 92501 2018-11-15
1750888095 Arunmozhi Aravagiri Student in an Organized Health Care Education/Training Program Riverside Community Hospital, Gme Office, 4445 Magnolia Ave., Riverside, CA 92501 2018-04-12
1720585847 Alan Huynh Student in an Organized Health Care Education/Training Program 4445 Magnolia Avenue., Gme Office, Riverside, CA 92501 2018-04-06
1538664834 Wilson Paul Frasca Student in an Organized Health Care Education/Training Program 4445 Magnolia Avenue, Riverside, CA 92501 2018-03-28
1851896575 Geethu Gopinathan Nair Student in an Organized Health Care Education/Training Program Riverside Community Hospital, 4445 Magnolia Ave., Gme Office, Riverside, CA 92501 2018-03-26
1316465560 Thilini Anne Abeygunaratne Marriage & Family Therapist 1950 Market Street, Riverside, CA 92501 2017-09-07
1194257410 Melissa Chitwood Assistant Behavior Analyst 3078 Cedar St., Riverside, CA 92501 2017-03-28
Find all providers in zip 92501

Taxonomy Information

Taxonomy Code 324500000X
Grouping Residential Treatment Facilities
Classification Substance Abuse Rehabilitation Facility

Taxonomy Definition

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.
Notes: [7/1/2003: modified title, modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437794252 Promising Outlook Substance Abuse Rehabilitation Facility 4136 10th St, Riverside, CA 92501-3110 2019-11-15
1508372186 Whiteside Manor, Inc. Substance Abuse Rehabilitation Facility 2759 Orange St, Riverside, CA 92501-2538 2017-12-19
1487177374 Everlast Recovery Centers Inc Substance Abuse Rehabilitation Facility 6560 Sandy Ln, Riverside, CA 92505-2028 2017-07-21
1841664885 Jacqueline Garcia Substance Abuse Rehabilitation Facility 10371 Hole Ave, Riverside, CA 92505-1747 2015-11-13
1952706319 House On The Corner LLC The Substance Abuse Rehabilitation Facility 2709 Orange St, Riverside, CA 92501-2538 2014-10-28
1578962114 Bluestone Recovery, Inc. Substance Abuse Rehabilitation Facility 1660 Chicago Ave Ste M11, Riverside, CA 92507-2033 2014-08-20
1053724716 10 Acre Ranch Substance Abuse Rehabilitation Facility 8605 Janet Ave, Riverside, CA 92503-9212 2014-06-10
1598002123 Big Bear Recovery Center Substance Abuse Rehabilitation Facility 16891 Alita Dr, Riverside, CA 92504-6209 2013-01-16
1376714048 Mfi Recovery Center Substance Abuse Rehabilitation Facility 9999 County Farm Rd, Riverside, CA 92503-3506 2008-03-20
1942327499 Sober Living By The Sea, Inc Substance Abuse Rehabilitation Facility 6690 Limonite Frontage Rd, Riverside, CA 92509 2007-03-22
Find all providers in RIVERSIDE

Competitor

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City RIVERSIDE
Zip Code 92501

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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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