Organization Name: | R&R HOLISTIC WELLNESS , LLC |
NPI Number: | 1508229519 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LAURENCE HICKS (CFO) |
Mailing Address: | 12523 Limonite Ave Ste 440-346 Mira Loma |
State: | CA US |
Postal Code: | 917523665 |
Phone Number: | 9517088088 |
Fax Number: | |
NPI Enumeration Date: | 03/29/2016 |
NPI Last Update Date: | 03/29/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320800000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Community Based Residential Treatment Facility, Mental Illness |
Taxonomy Specialization: | |
Taxonomy Definition: | A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |