Private Solution Detox Corp.

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

PRIVATE SOLUTION DETOX CORP.

Practice address

72301 Country Club Dr Ste 109
Rancho Mirage, CA 92270-8007

Phone

(833) 773-3869

Fax

(760) 895-4497

NPI assigned

Aug 4, 2026

Organization subpart

No

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

Authorized official

Name

Emilio Angulo

Title

Program Director

Phone

(833) 773-3869

Specialties & licenses 1

Addresses

Tax ID family

Private Solution Detox Corp3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Private Solution Detox Corp.

  • Substance Abuse Rehabilitation Facility
  • Rancho Mirage, CA
  • NPI 1104740133
  NPD tax ID
• Private Solution Detox Corp.

  • Substance Abuse Rehabilitation Facility
  • Rancho Mirage, CA
  • NPI 1528587292
  NPD tax ID

Locations

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

{
    "created_epoch": "1785801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785801600000",
    "number": "1275457202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72301 COUNTRY CLUB DR STE 200",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922708007",
            "telephone_number": "833-773-3869",
            "fax_number": "760-895-4497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72301 COUNTRY CLUB DR STE 109",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922708007",
            "telephone_number": "833-773-3869",
            "fax_number": "760-895-4497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIVATE SOLUTION DETOX CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-04",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A",
        "authorized_official_last_name": "ANGULO",
        "authorized_official_first_name": "EMILIO",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "833-773-3869"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohit Arunbhai Prajapati
• John Prekezes, M.D.
• Eric Robert Presser, M.D.
• Leslie Miller Price, WHNP
• Private Solution Detox Corp.
• Private Solution Detox Corp.
• Gary Proffett, M.D.
• River Deann Pullins, SUDRC
• Pushpinder Sivia M.D., a Professional Corporation
• Quantum Healthcare Inc

• Adult Mental Health Clinic/Center in Rancho Mirage, CA
• Providers in Rancho Mirage, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; 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.