Organization · NPI-2
Ahora Wellness Centers LLC
Substance Abuse Rehabilitation Facility · Brawley, CA
NPI number1376013144
StatusActive
Last updated in NPPESDec 6, 2018
Details
- NPI
- 1376013144
- Entity type
- Organization (NPI-2)
- Legal business name
- Ahora Wellness Centers LLC
- Organization subpart
- No
- Enumeration date
- Dec 5, 2018
- Last updated
- Dec 6, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | – | – | Yes |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – | |
| 261QM1000X | Clinic/Center, Migrant Health | – | – | |
| 261QR1300X | Clinic/Center, Rural Health | – | – | |
| 3245S0500X | Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | – | – |
Practice location
537 Main StBrawley, CA 92227-2423
Phone 760-344-9000 · Fax 760-344-9002
Mailing address
302 Washington St # 754San Diego, CA 92103-2110
Phone 619-203-5336
Authorized official
Stacey Hoyt
Owner
6192035336
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