Provider Demographics
NPI:1063078400
Name:TRINITY NATIONWIDE RECOVERY, INC.
Entity type:Organization
Organization Name:TRINITY NATIONWIDE RECOVERY, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:EDGAR
Authorized Official - Middle Name:ANTONIO
Authorized Official - Last Name:VILLA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:714-589-9228
Mailing Address - Street 1:11827 LOWEMONT ST
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CA
Mailing Address - Zip Code:90650-6517
Mailing Address - Country:US
Mailing Address - Phone:844-887-4648
Mailing Address - Fax:562-383-9109
Practice Address - Street 1:16057 RICHVALE DR
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90604-3514
Practice Address - Country:US
Practice Address - Phone:844-877-4648
Practice Address - Fax:714-383-9109
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TRINITY NATIONWIDE RECOVERY, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-05-10
Last Update Date:2024-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility