Pavisch Treatment Centers, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

330088AP Issued in CA

Legal business name

PAVISCH TREATMENT CENTERS, LLC

Practice address

4241 Glenwood Dr
Riverside, CA 92501-3027

Phone

(951) 785-1571

NPI assigned

Feb 13, 2008

Last updated

Feb 13, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Dennis Martin Scholl

Title

Executive Director

Phone

(951) 769-8973

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1285802165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 KETTLE CRK",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922237313",
            "telephone_number": "951-769-8973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4241 GLENWOOD DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925013027",
            "telephone_number": "951-785-1571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAVISCH TREATMENT CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-13",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "SCHOLL",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "951-769-8973",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "330088AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Louis Paulos
• Taylor Jean Paulson, LMFT
• Paulus Santoso MD a Professional Corporation
• Gabriel Seth Pavelsky, RDA
• Ashanty Pavia
• Ashley Nicole Pawling
• Lakeisha Paxton
• Paydar Dental Inc (Star Dental Group)
• Azita Paydar, D.D.S.
• Adam M Payne, NURSE PRACTITIONER

• Substance Abuse Rehabilitation Facility in Riverside, CA
• Providers in Riverside, 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 Feb 13, 2008; 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.