Palm Desert Recovery Center, Inc.

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

PALM DESERT RECOVERY CENTER, INC.

Practice address

73733 Fred Waring Dr
Suite 100
Palm Desert, CA 92260-2589

Phone

(626) 427-2477

Fax

(626) 844-2977

NPI assigned

May 7, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Howard Baker

Title

President

Phone

(626) 427-2477

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1430956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430956800000",
    "number": "1669850970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1599",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917090054",
            "telephone_number": "626-427-2477",
            "fax_number": "626-844-2977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73733 FRED WARING DR",
            "address_2": "SUITE 100",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922602589",
            "telephone_number": "626-427-2477",
            "fax_number": "626-844-2977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM DESERT RECOVERY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-07",
        "last_updated": "2015-05-07",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-427-2477",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction (Substance Use Disorder) Counselor in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; 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.