National Provider Identifier Database

HUMBOLDT RECOVERY CENTER INC
Substance Abuse Disorder Rehabilitation Facility

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.


Contact Information

HUMBOLDT RECOVERY CENTER INC.,
1303 11TH ST
EUREKA, CA95501
Phone: 707-443-4237
Fax: 707-442-1191
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for HUMBOLDT RECOVERY CENTER INC.,

NPI Number 1073023107
Legal business name
LBN
HUMBOLDT RECOVERY CENTER INC.,
Authorized official KYM COLEMAN - (BOARD PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 10/03/2017
Last updated 10/03/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: 120001AN
  • CA License #: 120001BN
  • CA License #: 120001DN

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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