NPIMap

Organization Active NPI

High Desert Child Adolescent and Family Services Center, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Yucca Valley, CA
National Provider Identifier
1124898234
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
HIGH DESERT CHILD ADOLESCENT AND FAMILY SERVICES CENTER, INC.
Practice address
58945 Business Center Dr Ste JPN
Yucca Valley, CA 92284-7307
Phone
(760) 243-7151
Fax
(760) 952-1432
NPI assigned
Jan 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shannon Nicole Baird
Title
Executive Director
Phone
(760) 243-7151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

58945 Business Center Dr Ste JPN
Yucca Valley, CA 92284-7307

Mailing address

16248 Victor St
Victorville, CA 92395-3934
Phone (760) 243-7151

Other names 1

  • High Desert Center Other name

National Provider Directory

National Provider Directory
Tax ID family
High Desert Center6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

58945 Business Center Dr
Ste Jpn
Yucca Valley, CA 92284
Phone (760) 243-7151

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1124898234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16248 VICTOR ST",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923953934",
            "telephone_number": "760-243-7151",
            "fax_number": "760-952-1432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58945 BUSINESS CENTER DR STE JPN",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922847307",
            "telephone_number": "760-243-7151",
            "fax_number": "760-952-1432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH DESERT CHILD ADOLESCENT AND FAMILY SERVICES CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-09",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A",
        "authorized_official_last_name": "BAIRD",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "760-243-7151"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "High Desert Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Yucca Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.