DR. WILLA'S HOUSE – NPI #1154627925
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.
DR. WILLA'S HOUSE is a substance abuse rehabilitation facility located in SAN CLEMENTE, CA. NPPES has assigned the NPI number 1154627925 to DR. WILLA'S HOUSE on January 26, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “DR. WILLA'S HOUSE” is a dba name, the actual legal business name for this organization is PHYSICIAN NUTRACEUTICAL RESEARCH, INC. 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.
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 DR. WILLA'S HOUSE below.
NPI Profile for
PHYSICIAN NUTRACEUTICAL RESEARCH, INC
(more than 15 years ago)
#A, B & C
SAN CLEMENTE, CA 92672-4182 Phone: (888) 508-3371 Fax: (949) 481-7063
EXECUTIVE DIRECTOR
Phone: (888) 508-3371
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 | 300189BP |
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.