BRANDON J INC/SERENITY PLACE – NPI #1073703898
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 children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

BRANDON J INC/SERENITY PLACE is a substance abuse rehabilitation facility located in COLTON, CA. NPPES has assigned the NPI number 1073703898 to BRANDON J INC/SERENITY PLACE on July 27, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. BRANDON J INC/SERENITY PLACE is also known by the name ACTS FOR CHILDREN. The primary taxonomy selected by this provider is 3245S0500X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children

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 BRANDON J INC/SERENITY PLACE below.

NPI Profile for
BRANDON J INC/SERENITY PLACE

NPI Number
1073703898
Enumeration Date

(about 19 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
BRANDON J INC/SERENITY PLACE
Other Name: ACTS FOR CHILDREN
Primary location
128 E. G ST STE #111
COLTON, CA 92324
Phone: (909) 433-0330 Fax: (909) 433-0399
Mailing address
128 E G ST STE 111
140 W. D ST
COLTON, CA 92324-2943
Phone: (909) 433-0330 Fax: (909) 433-0399
Organization Subpart
No
Authorized Official
LOURDES LEFEVRE
EXECUTIVE DIRECTOR
Phone: (909) 433-0330
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
3245S0500X
- Substance Abuse Rehabilitation Facility / Substance Abuse Treatment, Children (Primary)		 CA 368607

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.