Provider Demographics
NPI:1487531927
Name:DESERT COMPREHENSIVE TREATMENT CENTER
Entity type:Organization
Organization Name:DESERT COMPREHENSIVE TREATMENT CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR 1
Authorized Official - Prefix:MRS
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:L
Authorized Official - Last Name:CORONA
Authorized Official - Suffix:
Authorized Official - Credentials:SUDRC
Authorized Official - Phone:760-422-7413
Mailing Address - Street 1:1330 N INDIAN CANYON DR STE A
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92262-4880
Mailing Address - Country:US
Mailing Address - Phone:170-734-9720
Mailing Address - Fax:760-322-8916
Practice Address - Street 1:1330 N INDIAN CANYON DR STE A1330N
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262-4880
Practice Address - Country:US
Practice Address - Phone:170-734-9720
Practice Address - Fax:760-322-8916
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-18
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)