Russ Recovery Iop Servces- PC
Russ Recovery Iop Servces- PC is an Addiction (Substance Use Disorder) Counselor in Palm Springs, California. Licensed in California. Registered with an NPI since 2012.
- Licensed in
- CA
- In the registry since
- 2012
- Specialties on file
- 2
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2825 Tahquitz Canyon Way Bldg CPalm Springs, CA 92262
Phone: (866) 484-6444
Fax: (760) 416-7709
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|---|
| Comprehensive Outpatient Rehabilitation Facility (CORF) | Taxonomy 261QR0401X · Licence MFC49984 (CA) |
Record details
| NPI number | 1700134046 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kenneth Russ — Medical Director · (760) 416-7755 |
| NPI enumerated | August 16, 2012 |
| Last updated in NPPES | July 2, 2014 |
| Mailing address | 2825 Tahquitz Canyon Way, Bldg C, Palm Springs, CA 92262-7038 |
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Christine Smith
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Jimmie Speed
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Adrianna Ines Suarez
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