La Vista, A Program Of Mfi Recovery Center

LBN: Mfi Recovery Center
La Vista, A Program Of Mfi Recovery Center is an health care organization with primary practice located at 2220 Girard Street Suite A, San Jacinto CA 92583-5301. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Mfi Recovery Center can be contacted via phone (951) 683-6596, or through Poplar, Jason via phone (951) 683-6596.

Contact Information

Primary practice address
2220 Girard Street Suite A San Jacinto CA 92583-5301
Fax: (951) 683-4239
Website:
Authorized official contact:
Name: Poplar, Jason

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 330013SN California

Profile Details

NPI number 1679937718
LBN Legal business name Mfi Recovery Center
DBA Doing business as La Vista, A Program Of Mfi Recovery Center
Authorized official Poplar, Jason
Entity Organization
Organization subpart 1 No
Enumeration date Apr 5th, 2016
Last updated Jul 17th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679937718 NPPES
California MEDICAID 02443200

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