CEDAR POINT RECOVERY LLC NPI 1790164143

NPI Information

NPI: 1790164143
Provider Name: CEDAR POINT RECOVERY, LLC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 05D2100475

Address:
8950 CAL CENTER DR STE 160165
SACRAMENTO, CA
ZIP 95826
Phone: (732) 982-2674
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CEDAR POINT RECOVERY, LLC is a rehabilitation and substance use disorder clinic center in Sacramento, CA. CEDAR POINT RECOVERY, LLC NPI is 1790164143. The provider is registered as an organization entity type.

The provider's business location address is:

8950 CAL CENTER DR STE 160165
SACRAMENTO, CA
ZIP 95826-259
Phone: (732) 982-2674

The provider's authorized official is Priti Kumar .
The authorized official title is Director Of Billing and has the following contact phone number (732) 210-0509.

The CLIA number assigned to this NPI record is 05D2100475 - other - drug & alcohol detox fa with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/19/2015 and was last updated on 6/12/2020.

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	324500000X	Substance Abuse Rehabilitation Facility				No
2	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: 5/5/2024

NPI Synchronization or Removal

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