Organization Active NPI

Social Model Recovery

  • Children's Substance Abuse Rehabilitation Facility
  • Long Beach, CA
National Provider Identifier
1932640596
Registry record updated Mar 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X
Legal business name
SOCIAL MODEL RECOVERY
Practice address
1368 Molino Ave Apt 2
Long Beach, CA 90804-2383
Phone
(562) 668-2171
NPI assigned
Mar 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2017

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

Authorized official

Name
Vannary Norith
Title
Night Counselor
Phone
(562) 668-2171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Substance Abuse Rehabilitation Facility 3245S0500X Primary

Addresses

Primary practice location

1368 Molino Ave Apt 2
Long Beach, CA 90804-2383

Mailing address

1368 Molino Ave Apt 2
Long Beach, CA 90804-2383
Phone (562) 668-2171

Other names 1

  • Touchstone Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1489622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489622400000",
    "number": "1932640596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1368 MOLINO AVE APT 2",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908042383",
            "telephone_number": "562-668-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1368 MOLINO AVE APT 2",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908042383",
            "telephone_number": "562-668-2171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCIAL MODEL RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-16",
        "last_updated": "2017-03-16",
        "status": "A",
        "authorized_official_last_name": "NORITH",
        "authorized_official_first_name": "VANNARY",
        "authorized_official_title_or_position": "NIGHT COUNSELOR",
        "authorized_official_telephone_number": "562-668-2171"
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Touchstone",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; 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.