Provider Demographics
NPI:1518169002
Name:CALIFORNIA ABARIS REHABILITATION AND EDUCATIONAL SERVICES, INC.
Entity Type:Organization
Organization Name:CALIFORNIA ABARIS REHABILITATION AND EDUCATIONAL SERVICES, INC.
Other - Org Name:C.A.R.E.S., INC.
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:P
Authorized Official - Last Name:GOLDBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-327-6300
Mailing Address - Street 1:PO BOX 1010
Mailing Address - Street 2:
Mailing Address - City:MORONGO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92256-1010
Mailing Address - Country:US
Mailing Address - Phone:760-327-6300
Mailing Address - Fax:760-327-6344
Practice Address - Street 1:777 N PALM CANYON DR
Practice Address - Street 2:SUITE 200
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262-5546
Practice Address - Country:US
Practice Address - Phone:760-327-6300
Practice Address - Fax:760-327-6344
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT 572261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service