NPIMap

Organization Active NPI

Riverside County Latino Commission on Alcohol and Drug Abuse Services

  • Children's Substance Abuse Rehabilitation Facility
  • Indio, CA
National Provider Identifier
1235675646
Registry record updated Mar 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X
Legal business name
RIVERSIDE COUNTY LATINO COMMISSION ON ALCOHOL AND DRUG ABUSE SERVICES
Practice address
43485 Hollyhock St
Indio, CA 92201-1976
Phone
(760) 398-8800
Fax
(760) 398-9790
NPI assigned
Jan 9, 2017
Organization subpart
Yes
Parent organization
RIVERSIDE COUNTY LATINO COMMISSION ON ALCOHOL AND DRUG ABUSE SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 14, 2018

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

Authorized official

Name
Leonel Contreras
Title
Executive Director
Phone
(760) 398-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Substance Abuse Rehabilitation Facility 3245S0500X Primary

Addresses

Primary practice location

43485 Hollyhock St
Indio, CA 92201-1976

Mailing address

1612 1St St
Coachella, CA 92236-1407
Phone (760) 398-9000

Other names 1

  • Michael's Youth Treatment Home for Boys Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Riverside Latino Commission on Alcohol Drug Abuse Services Inc12 organizations share this tax ID, including this one
Part of
Riverside Latino Commission on Alcohol Drug Abuse Services Inc

Other organizations with this tax ID 11

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

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1483920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520985600000",
    "number": "1235675646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 1ST ST",
            "city": "COACHELLA",
            "state": "CA",
            "postal_code": "922361407",
            "telephone_number": "760-398-9000",
            "fax_number": "760-398-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43485 HOLLYHOCK ST",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922011976",
            "telephone_number": "760-398-8800",
            "fax_number": "760-398-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE COUNTY LATINO COMMISSION ON ALCOHOL AND DRUG ABUSE SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RIVERSIDE COUNTY LATINO COMMISSION ON ALCOHOL AND DRUG ABUSE SERVICES",
        "enumeration_date": "2017-01-09",
        "last_updated": "2018-03-14",
        "status": "A",
        "authorized_official_last_name": "CONTRERAS",
        "authorized_official_first_name": "LEONEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "760-398-9000"
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michael's Youth Treatment Home for Boys",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indio, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2018; 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.