Chico Recovery Center

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

040021AN Issued in CA

Legal business name

CHICO RECOVERY CENTER

Doing business as

No

Practice address

2057 Forest Ave
Suite 5
Chico, CA 95928-7627

Phone

(530) 343-6566

Fax

(530) 343-6715

NPI assigned

Sep 23, 2014

Organization subpart

No

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

Authorized official

Name

Miss Ruth Ellen Wallace

Title

Owner/Director

Phone

(530) 343-6566

Specialties & licenses 1

Addresses

Other names 1

• No Doing business as

Locations

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

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411430400000",
    "number": "1942602867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2057 FOREST AVE STE 5",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959287627",
            "telephone_number": "530-343-6566",
            "fax_number": "530-343-6715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2057 FOREST AVE",
            "address_2": "SUITE 5",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959287627",
            "telephone_number": "530-343-6566",
            "fax_number": "530-343-6715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICO RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-23",
        "last_updated": "2014-09-23",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "530-343-6566",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "CA",
            "license": "040021AN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "No",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chico Orthopaedic Surgery and Sports Medical Associates
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• Chico Physical Therapy Associates Inc
• Chico Podiatry Group
• Chico Rehabilitation Hospital, LLC
• Chico Rescue Mission
• Chico Speech and Language Center
• Chico Speech and Language Pathology Incorporated (Chico Speech and Language Center)
• Chico Spine & Wellness Anderson Chiropractic P.C.

• Substance Use Disorder Rehabilitation Clinic/Center in Chico, CA
• Providers in Chico, CA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; 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.