Organization · Type 2 NPI

Antelope Valley Rehabilitation Centers Residential

Substance Abuse Rehabilitation Facility · Acton, CA

NPI number 1316397938 Active

Practice location

30500 Arrastre Canyon Rd
Acton, CA 93510-2160

Fax (661) 269-4507

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.

17 other providers at this address

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NPI record

NPI: 1316397938
Entity type: Organization (Type 2)
Issued: Jun 14, 2016
Last updated: Jun 14, 2016
Status: Active

Other names

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Los Angeles County Department of Public Health Avrc · other name

Authorized official

Mr. Tony W. Hill, M.P.A
Chief, Rehabilitation Centers
(661) 223-8880

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1316397938

Antelope Valley Rehabilitation Centers Residential's National Provider Identifier is 1316397938, issued on Jun 14, 2016. 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 Jun 14, 2016.