Organization · Type 2 NPI

Nirvana Drug and Alcohol

Substance Abuse Rehabilitation Facility · Modesto, CA

NPI number 1215204276 Active

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

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000XNone 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.