Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Axis Residential Treatment LLC

Organization Substance Abuse Rehabilitation Facility · NPI 1710104807

Axis Residential Treatment LLC is a Substance Abuse Rehabilitation Facility in Indian Wells, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

75450 Fairway Dr
Indian Wells, CA 92210-8421
Phone: (760) 469-8275
Fax: (760) 346-8032
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X · Licence 330082AP (CA)

Record details

NPI number1710104807
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brad Keith — Ceo · (310) 435-6298
NPI enumeratedApril 19, 2007
Last updated in NPPESJuly 31, 2008
Mailing address75450 Fairway Dr, Indian Wells, CA 92210-8421