Pine Ridge Treatment Centers, Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

20A3971 Issued in CA

Legal business name

PINE RIDGE TREATMENT CENTERS, INC.

Practice address

2727 Highland Dr
Running Springs, CA 92382-2303

Phone

(909) 867-7027

NPI assigned

Jan 30, 2007

Last updated

Feb 24, 2009By 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

Walter Giles

Title

President

Phone

(909) 867-4404

Specialties & licenses 1

Addresses

Tax ID family

Pine Ridge Treatment Centers Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Pine Ridge Treatment Centers, Inc.

  • Substance Abuse Rehabilitation Facility
  • Victorville, CA
  • NPI 1366001604
  NPD tax ID

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235433600000",
    "number": "1508903683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2303",
            "city": "RUNNING SPRINGS",
            "state": "CA",
            "postal_code": "923822303",
            "telephone_number": "909-867-7027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 HIGHLAND DR",
            "city": "RUNNING SPRINGS",
            "state": "CA",
            "postal_code": "923822303",
            "telephone_number": "909-867-7027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE RIDGE TREATMENT CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2009-02-24",
        "status": "A",
        "authorized_official_last_name": "GILES",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-867-4404"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "20A3971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hope Springs Recovery Center (Hope Springs California LLC)
• Kaylene Hughes
• Judy A Lees, R.D.H.A.P.
• Roma Jean Nall, D.C.
• Daniel Thomas Pekarcik, RN, PMHNP-BC
• Jason Dennis Rezansoff, D.C.
• Judith Eileen Rossbach, LCSW
• Running Springs Water District (Running Springs Fire Department)
• San Bernardino Mountains Community Hospital District (Running Springs Rural Health Clinic)
• Fillmore Lewis Smiley IV, LPCC, LAADC

• Substance Abuse Rehabilitation Facility in Running Springs, CA
• Providers in Running Springs, 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 24, 2009; 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.