Organization · Type 2 NPI
Nirvana Drug and Alcohol
Substance Abuse Rehabilitation Facility · Modesto, CA
Practice location
1100 Kansas Ave Ste Bc&d
Modesto, CA 95351-1596
Fax (209) 579-9605
Mailing address
1100 Kansas Ave, Suite B
Modesto, CA 95351-1596
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | None listed |
Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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About NPI 1215204276
Nirvana Drug and Alcohol's National Provider Identifier is 1215204276, issued on Nov 18, 2011. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Modesto, CA. The record was last updated on May 28, 2019.