Provider Demographics
NPI:1003522483
Name:THE TEAM 4 YOU, INC.
Entity Type:Organization
Organization Name:THE TEAM 4 YOU, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OLGA
Authorized Official - Middle Name:
Authorized Official - Last Name:DOTSENKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-847-8815
Mailing Address - Street 1:34868 WILD FLAX CT
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92563-1112
Mailing Address - Country:US
Mailing Address - Phone:858-847-8815
Mailing Address - Fax:
Practice Address - Street 1:715 N ARROWHEAD AVE STE 101
Practice Address - Street 2:
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92401-1150
Practice Address - Country:US
Practice Address - Phone:858-847-8815
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-27
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation FacilityGroup - Single Specialty