Organization Active NPI

Recovery Treatment Center

  • Methadone Clinic
  • Upland, CA
National Provider Identifier
1518183243
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
License
3613 Issued in CA
Legal business name
RECOVERY TREATMENT CENTER
Practice address
244 Alpine St
Apt D
Upland, CA 91786-5206
Phone
(909) 625-3818
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Frank Brito, LVN
Title
Nurse
Phone
(909) 625-3818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X 3613 CA Primary

Addresses

Primary practice location

244 Alpine St
Apt D
Upland, CA 91786-5206

Mailing address

244 Alpine St
Apt D
Upland, CA 91786-5206
Phone (909) 625-3818

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518183243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 ALPINE ST",
            "address_2": "APT D",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917865206",
            "telephone_number": "909-625-3818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 ALPINE ST",
            "address_2": "APT D",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917865206",
            "telephone_number": "909-625-3818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRITO",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "NURSE",
        "authorized_official_telephone_number": "909-625-3818",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "CA",
            "license": "3613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.