Bondage Breaker Recovery Service
Organization Active NPI Substance Abuse Rehabilitation Facility · Red Bluff, CA
NPI 1265640403 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1265640403
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Abuse Rehabilitation Facility 324500000X
- License
- 520003AN (CA)
- Legal business name
- BONDAGE BREAKER RECOVERY SERVICE
- Practice address
- 224 Ash St
Red Bluff, CA 96080-3804 - Phone
- (530) 529-0634
- Fax
- (530) 529-0650
- NPI assigned
- May 20, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Ross Dewayne Heggie, CAS
- Title
- Executive Director
- Phone
- (530) 529-0634
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | 520003AN | CA | Yes |
Addresses
Primary practice location
224 Ash St
Red Bluff, CA 96080-3804
Mailing address
PO Box 8652
Red Bluff, CA 96080-8652
Phone (530) 529-0634
Other providers in Red Bluff, CA
- Eddie Blanco
- Anita L. Blosser
- Jorge Alejandro Bobadilla Parga
- Stacey Boek-Dominguez
- Jessica Bolmanski
- Kati Boomgarden
- Rachel Layne Boomgarden
- Karen A Borm
- Richard Lee Bradley
- Bianca Bradshaw
All providers in Red Bluff, CA · Substance Abuse Rehabilitation Facility in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. 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.