Russ Recovery Iop Servces- Pc

LBN: Russ Recovery Iop Servces- Pc
Russ Recovery Iop Servces- Pc is an health care organization with primary practice located at 2825 Tahquitz Canyon Way Bldg C, Palm Springs CA 92262. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is the primary health care specialty. Russ Recovery Iop Servces- Pc can be contacted via phone (866) 484-6444, or through Russ, Kenneth Carl via phone (760) 416-7755.

Contact Information

Primary practice address
2825 Tahquitz Canyon Way Bldg C Palm Springs CA 92262
Phone: (866) 484-6444
Fax: (760) 416-7709
Website:
Map and Directions
Authorized official contact:
Name: Russ, Kenneth Carl Doctor of Medicine (MD)
Phone: (760) 416-7755

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X MFC49984 California

Profile Details

NPI number 1700134046
LBN Legal business name Russ Recovery Iop Servces- Pc
DBA Doing business as
Authorized official Russ, Kenneth Carl Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 16th, 2012
Last updated Jul 2nd, 2014 - about 10 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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