Pur Detox Inc

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

300198AP Issued in CA

Legal business name

PUR DETOX INC

Practice address

25071 Alicia Dr
Dana Point, CA 92629-2413

Phone

(888) 803-3869

NPI assigned

Jan 27, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Holland Binford

Title

Insurance Officer

Phone

(888) 853-3869

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1264550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349222400000",
    "number": "1194056358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 S RIDGEVIEW RD",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928074810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25071 ALICIA DR",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926292413",
            "telephone_number": "888-803-3869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUR DETOX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-27",
        "last_updated": "2012-10-03",
        "status": "A",
        "authorized_official_last_name": "BINFORD",
        "authorized_official_first_name": "HOLLAND",
        "authorized_official_title_or_position": "INSURANCE OFFICER",
        "authorized_official_telephone_number": "888-853-3869",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "300198AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Preventativerx
• Products for Recovery Management Group LLC
• Products for Recovery Management Group, LLC
• Helene Ann Pulnik, ND
• Auranate Pungprapunpong, PHARM D.
• Qualicare Orange Coast
• Gemma C Quick, LMFT
• Jordan Ramirez, DPT
• Maritza Ramirez
• Rajendra T Rana, M.D.

• Substance Abuse Rehabilitation Facility in Dana Point, CA
• Providers in Dana Point, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; 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.