Individual provider · Type 1 NPI

John Nipper

Substance Abuse Rehabilitation Facility · Mira Loma, CA

NPI number 1710285283 Active

Practice location

11221 Holmes Ave
Mira Loma, CA 91752-2552

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.

About NPI 1710285283

John Nipper's National Provider Identifier is 1710285283, issued on Mar 8, 2011. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Mira Loma, CA. The record was last updated on Mar 8, 2011.