Organization · Type 2 NPI

Didi Hirsch Psychiatric Service

Substance Abuse Rehabilitation Facility · Pacoima, CA

NPI number 1740539980 Active

Practice location

11643 Glenoaks Blvd
Pacoima, CA 91331-1050

Call (818) 897-2609 Map

Fax (818) 890-7159

Mailing address

4760 Sepulveda Blvd
Culver City, CA 90230-4820

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency	251S00000X	None listed
Substance Abuse Rehabilitation Facility Primary	324500000X	None 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.

42 other providers at this address

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NPI record

NPI: 1740539980
Entity type: Organization (Type 2)
Issued: Sep 4, 2012
Last updated: Oct 8, 2020
Status: Active

Other names

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Didi Hirsch MHS - Via Avanta · other name
Didi Hirsch MHS - Via Avanta · other name

Authorized official

Dulce M Ruiz
Contracts & Grants Manager
(310) 751-5442

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About NPI 1740539980

Didi Hirsch Psychiatric Service's National Provider Identifier is 1740539980, issued on Sep 4, 2012. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Pacoima, CA. The record was last updated on Oct 8, 2020.