VALLEY WIDE OUTREACH SERVICES – NPI #1992890305
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

VALLEY WIDE OUTREACH SERVICES is a substance abuse rehabilitation facility located in SAN JACINTO, CA. NPPES has assigned the NPI number 1992890305 to VALLEY WIDE OUTREACH SERVICES on October 03, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “VALLEY WIDE OUTREACH SERVICES” is a dba name, the actual legal business name for this organization is VALLEY WIDE RECREATION & PARK DISTRICT. 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

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. 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 VALLEY WIDE OUTREACH SERVICES below.

NPI Profile for
VALLEY WIDE RECREATION & PARK DISTRICT

NPI Number
1992890305
Enumeration Date

(more than 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
VALLEY WIDE RECREATION & PARK DISTRICT
Doing Business As (dba): VALLEY WIDE OUTREACH SERVICES
Primary location
901 W. ESPLANADE AVE.
SAN JACINTO, CA 92582
Phone: (951) 654-1505 Fax: (951) 654-9927
Mailing address
P.O. BOX 907
SAN JACINTO, CA 92581
Phone: (951) 654-1505 Fax: (951) 654-9927
Organization Subpart
No
Authorized Official
SAM GOEPP
GENERAL MANAGER
Phone: (951) 654-1505
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 330046AN

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.