# PALM SPRINGS RECOVERY TREATMENT CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mind and Body Recovery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518571066
- **Authorized official:** MARIAM MARIYA NIKOGOSYAN MA HUMAN SERVICES (PROGRAM DIRECTOR)
- **Authorized official phone:** (818) 441-1049

## Contact information

- **Practice address:** 45650 WILLIAMS RD, INDIAN WELLS, CA 92210-8474
- **Practice address phone:** (818) 441-1049
- **Mailing address:** 45650 WILLIAMS RD, INDIAN WELLS, CA 92210-8474
- **Mailing address phone:** (818) 441-1049

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/02/2020
- **Last updated:** 09/02/2020