Individual provider · Type 1 NPI
Lessa Ileana Acosta
Substance Abuse Rehabilitation Facility · Acton, CA
NPI number
1275003543
Active
Practice location
30500 Arrastre Canyon Rd.
Acton, CA 93510
Fax (661) 269-0427
Mailing address
30500 Arrastre Canyon Rd
Acton, CA 93510-2160
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | 190001AN (CA) |
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.
Other substance abuse rehabilitation facility providers in Acton
About NPI 1275003543
Lessa Ileana Acosta's National Provider Identifier is 1275003543, issued on Nov 29, 2018. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Acton, CA. The record was last updated on Nov 29, 2018.