A WILDWOOD RECOVERY – NPI #1144517723
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

A WILDWOOD RECOVERY is a substance abuse rehabilitation facility located in THOUSAND OAKS, CA. NPPES has assigned the NPI number 1144517723 to A WILDWOOD RECOVERY on July 05, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was previously updated about 14 years ago on Jun 20, 2012. 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 A WILDWOOD RECOVERY below.

NPI Profile for
A WILDWOOD RECOVERY

NPI Number
1144517723
Enumeration Date

(about 15 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
A WILDWOOD RECOVERY
Primary location
360 CAMINO DE CELESTE
THOUSAND OAKS, CA 91360-7124
Phone: (805) 493-5741 Fax: (805) 493-5047
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
WALTER THOMAS
PRESIDENT
Phone: (805) 493-5741
Updated
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
324500000X
- Substance Abuse Rehabilitation Facility (Primary)
CA 560040AP

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.