KOOL LIVING INC. NPI 1295129112

NPI Information

NPI: 1295129112
Provider Name: KOOL LIVING INC.

Doing Business As: FOOTPRINTS BEHAVIORAL HEALTH

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
26421 CROWN VALLEY PKWY
SUITE 200
MISSION VIEJO, CA
ZIP 92691
Phone: (866) 921-3778
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KOOL LIVING INC. is a rehabilitation and substance use disorder clinic center in Mission Viejo, CA. KOOL LIVING INC. NPI is 1295129112. The provider is registered as an organization entity type.
The provider Is Doing Business As Footprints Behavioral Health.

The provider's business location address is:

26421 CROWN VALLEY PKWY
SUITE 200
MISSION VIEJO, CA
ZIP 92691-564
Phone: (866) 921-3778

The provider's authorized official is Nicholas Russi .
The authorized official title is Vice-president and has the following contact phone number (951) 427-4807.

The enumeration date for this NPI number is 3/28/2015 and was last updated on 12/23/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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