LAKE ARROWHEAD TREATMENT CENTER – NPI #1588996680
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.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

LAKE ARROWHEAD TREATMENT CENTER is a substance abuse rehabilitation facility located in LAKE ARROWHEAD, CA. NPPES has assigned the NPI number 1588996680 to LAKE ARROWHEAD TREATMENT CENTER on February 01, 2010. 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 LAKE ARROWHEAD TREATMENT CENTER below.

NPI Profile for
LAKE ARROWHEAD TREATMENT CENTER

NPI Number
1588996680
Enumeration Date

(more than 16 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
LAKE ARROWHEAD TREATMENT CENTER
Primary location
975 NADELHORN STREET
LAKE ARROWHEAD, CA 92352
Phone: (909) 337-5650 Fax:
Mailing address
PO BOX 197
LAKE ARROWHEAD, CA 92352-0197
Phone: Fax:
Organization Subpart
No
Authorized Official
JACK GREEN
CEO
Phone: (909) 337-5650
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 360072AP

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.