MORE TO LIFE RECOVERY NON-PROFIT – NPI #1558048306
Clinic/Center

MORE TO LIFE RECOVERY NON-PROFIT is an AHC clinic located in FIDDLETOWN, CA. NPPES has assigned the NPI number 1558048306 to MORE TO LIFE RECOVERY NON-PROFIT on July 03, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QR0405X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Rehabilitation, Substance Use Disorder

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MORE TO LIFE RECOVERY NON-PROFIT below.

NPI Profile for
MORE TO LIFE RECOVERY NON-PROFIT

NPI Number
1558048306
Enumeration Date

(about 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MORE TO LIFE RECOVERY NON-PROFIT
Primary location
20098 QUARTZ MOUNTAIN ROAD NORTH
FIDDLETOWN, CA 95629
Phone: (209) 206-1177 Fax:
Mailing address
PO BOX 353
FIDDLETOWN, CA 95629-0353
Phone: (209) 206-1177 Fax:
Organization Subpart
No
Authorized Official
JEFFREY HODGSON
CEO
Phone: (209) 206-1177
Updated
Certification Date
Jun 23, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QR0405X
- Clinic/Center / Rehabilitation, Substance Use Disorder (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.