Organization · Type 2 NPI

West Coast Drug & Alcohol Program

Substance Abuse Rehabilitation Facility · Van Nuys, CA

NPI number 1720411564 Active

Practice location

6850 Van Nuys Blvd, Suite 125
Van Nuys, CA 91405-4640

Fax (818) 908-3336

Specialties and licenses

TaxonomyCodeLicense
Custodial Care Facility 311Z00000XNone listed
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.

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About NPI 1720411564

West Coast Drug & Alcohol Program's National Provider Identifier is 1720411564, issued on Aug 15, 2013. 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 Aug 15, 2013.