Organization
ANTELOPE VALLEY REHABILITATION CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG HASELTINE (INTERIM EXECUTIVE DIRECTOR)
(661) 269-0074
Entity
Organization
Contact information
Practice address
44900 60TH ST W, CHP TRAILER, LANCASTER, CA 93536-7618
(661) 945-8458
(661) 945-8248
Mailing address
PO BOX 25, ACTON, CA 93510-0025
(661) 269-0062
(661) 269-0427
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6767
MEDI-CAL
CA
Enumeration date
04/20/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us