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Axis Residential Treatment Llc
Substance Abuse Rehabilitation Facility in Indian Wells, California
NPI 1710104807

Axis Residential Treatment Llc is a Substance Abuse Rehabilitation Facility based in Indian Wells, CA. Axis Residential Treatment Llc practices in Indian Wells, CA. The NPI Number for Axis Residential Treatment Llc is 1710104807 and holds a License No. 330082AP (California).

The current practice location address for Axis Residential Treatment Llc is 75450 Fairway Dr, Indian Wells, CA and can be reached out via phone at 760-469-8275 and via fax at 760-346-8032.

Location: 75450 Fairway Dr, Indian Wells, CA, 92210-8421
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710104807
Provider Name
Axis Residential Treatment Llc
Credential
Provider Entity Type
Organization
Address
75450 Fairway Dr, Indian Wells, CA, 92210-8421
Phone Number
760-469-8275
Fax Number
760-346-8032
Provider Enumeration Date
04/19/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
75450 Fairway Dr
City
Indian Wells
State
California
Zip
92210-8421
Phone Number
760-469-8275
Fax Number
760-346-8032
person
Provider Business Mailing Address Details
Address
75450 Fairway Dr
City
Indian Wells
State
California
Zip
92210-8421
Phone Number
760-469-8275
Fax Number
760-346-8032
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
330082AP (California)
Definition
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.
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