Individual provider · Type 1 NPI

Mayra Ivon Thrush

Substance Abuse Rehabilitation Facility · Whittier, CA

NPI number 1669811519 Active

Practice location

12322 Clearglen Ave
Whittier, CA 90604-3872

Call (562) 947-3835 Map

Fax (562) 947-4053

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000X1710076930 (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 1669811519

Mayra Ivon Thrush's National Provider Identifier is 1669811519, issued on Jun 24, 2013. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Whittier, CA. The record was last updated on Jun 24, 2013.