Refuge Treatment Center Inc.
Organization Active NPI Addiction Medicine (Family Medicine) Physician · Lake Arrowhead, CA
NPI 1013395565 · NPPES record last updated May 15, 2015
Key facts
- NPI
- 1013395565
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Addiction Medicine (Family Medicine) Physician 207QA0401X
- Legal business name
- REFUGE TREATMENT CENTER INC.
- Practice address
- 1366 Yellowstone Dr.
Lake Arrowhead, CA 92352-1238 - Phone
- (909) 337-4224
- Fax
- (909) 336-7357
- NPI assigned
- May 15, 2015
- Organization subpart
- No
Authorized official
- Name
- Nathan Loren Ingram
- Title
- Owner
- Phone
- (909) 337-4224
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Refuge Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Family Medicine) Physician |
207QA0401X | CA | Yes |
Addresses
Primary practice location
1366 Yellowstone Dr.
Lake Arrowhead, CA 92352-1238
Mailing address
PO Box 1238
Lake Arrowhead, CA 92352-1238
Phone (909) 337-4224
Other providers in Lake Arrowhead, CA
- Michele Lee Pereira
- Richard Rankin
- Darren Ream
- Jonathan Reed
- Refuge Inc
- George Anton Remisovsky
- Michelle Ely Ricardo
- Rim of the World Usd
- Martin Rocha
- San Bernardino Medical Orthopaedic Group, Inc.
All providers in Lake Arrowhead, CA · Addiction Medicine (Family Medicine) Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.