Citadel Residential Treatment Facility

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

CITADEL RESIDENTIAL TREATMENT FACILITY

Practice address

3129 Turnbrook Cir
Hemet, CA 92545-8747

Phone

(951) 392-2042

NPI assigned

Mar 12, 2020

Organization subpart

No

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

Authorized official

Name

Donise Warren

Title

Ceo

Phone

(909) 992-0929

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1583971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650499200000",
    "number": "1720614514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "568 N MOUNTAIN VIEW AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924011231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3129 TURNBROOK CIR",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925458747",
            "telephone_number": "951-392-2042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11860 Milpas Dr",
            "address_purpose": "LOCATION",
            "city": "Apple Valley",
            "state": "CA",
            "postal_code": "923080163",
            "country_code": "US",
            "telephone_number": "760-247-1441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CITADEL RESIDENTIAL TREATMENT FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-12",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "DONISE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-992-0929"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Substance Abuse Rehabilitation Facility in Hemet, CA
• Providers in Hemet, 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 Apr 21, 2022; 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.