PINE RIDGE TREATMENT CENTERS, INC. – NPI #1366001604
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.

PINE RIDGE TREATMENT CENTERS, INC. is a substance abuse rehabilitation facility located in VICTORVILLE, CA. NPPES has assigned the NPI number 1366001604 to PINE RIDGE TREATMENT CENTERS, INC. on June 11, 2019. 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.

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 PINE RIDGE TREATMENT CENTERS, INC. below.

NPI Profile for
PINE RIDGE TREATMENT CENTERS, INC.

NPI Number
1366001604
Enumeration Date

(about 7 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
PINE RIDGE TREATMENT CENTERS, INC.
Primary location
15367 BONANZA RD
STE A
VICTORVILLE, CA 92392
Phone: (760) 955-1012 Fax: (760) 955-4811
Mailing address
PO BOX 959
LUCERNE, CA 95458-0959
Phone: (760) 248-9199 Fax: (760) 248-6479
Organization Subpart
No
Authorized Official
WALTER GILES
PRESIDENT/OWNER
Phone: (909) 867-4404
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)

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.