Organization · Type 2 NPI

Jack London Continuation School

Substance Abuse Rehabilitation Facility · Van Nuys, CA

NPI number 1326202037 Active

Practice location

12924 Oxnard St
Van Nuys, CA 91401-4104

Call (818) 787-4151 Map

Fax (818) 787-2840

Mailing address

14558 Sylvan St
Van Nuys, CA 91411-2324

Specialties and licenses

Taxonomy	Code	License
Substance Abuse Rehabilitation Facility Primary	324500000X	190327AP (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.

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About NPI 1326202037

Jack London Continuation School's National Provider Identifier is 1326202037, issued on Jul 11, 2008. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Van Nuys, CA. The record was last updated on Jul 11, 2008.