Active NPI
Dare to Dream Recovery Inc
- Substance Use Disorder Rehabilitation Clinic/Center
- Northridge, CA
National Provider Identifier
1003513862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- DARE TO DREAM RECOVERY INC
- Practice address
- 8805 Reseda Blvd
Northridge, CA 91324-4040 - Phone
- (918) 964-3632
- NPI assigned
- Feb 13, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Khaled Al-Alawneh
- Title
- Ceo
- Phone
- (918) 964-3632
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Primary |
Addresses
Primary practice location
8805 Reseda Blvd
Northridge, CA 91324-4040
Mailing address
8805 Reseda Blvd
Northridge, CA 91324-4040
Phone (916) 964-3632
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676246400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1681430400000",
"number": "1003513862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8805 RESEDA BLVD",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913244040",
"telephone_number": "916-964-3632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8805 RESEDA BLVD",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913244040",
"telephone_number": "918-964-3632"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DARE TO DREAM RECOVERY INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-13",
"last_updated": "2023-04-14",
"certification_date": "2023-04-14",
"status": "A",
"authorized_official_last_name": "AL-ALAWNEH",
"authorized_official_first_name": "KHALED",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "918-964-3632",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northridge, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.