| Blue Tiger Recovery Inc | |
|
73555 Alessandro Dr Palm Desert CA 92260-3635 | |
| (760) 534-3487 | |
| (442) 334-7901 |
| Full Name | Blue Tiger Recovery Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 73555 Alessandro Dr, Palm Desert, California |
| Authorized Official Name and Position | Terry L Gatewood (CEO) |
| Authorized Official Contact | 3232178600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Tiger Recovery Inc Po Box 14252 Palm Desert CA 92255-4252 Ph: (760) 534-3487 | Blue Tiger Recovery Inc 73555 Alessandro Dr Palm Desert CA 92260-3635 Ph: (760) 534-3487 |
| NPI Number | 1508276056 |
|---|---|
| Provider Enumeration Date | 05/06/2014 |
| Last Update Date | 06/30/2022 |
| Certification Date | 06/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508276056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 29305 (California) | Primary |
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