Individual provider · Type 1 NPI
Wesley Jarasunas
Children's Substance Abuse Rehabilitation Facility · Lake View Terrace, CA
Practice location
11600 Eldridge Ave
Lake View Terrace, CA 91342-6506
Mailing address
407 Birmingham Rd
Burbank, CA 91504-3908
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Children's Substance Abuse Rehabilitation Facility Primary | 3245S0500X | None listed |
Children's 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 children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
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About NPI 1780008953
Wesley Jarasunas's National Provider Identifier is 1780008953, issued on Feb 9, 2014. The primary taxonomy on file is Children's Substance Abuse Rehabilitation Facility (3245S0500X), and the practice location is in Lake View Terrace, CA. The record was last updated on Feb 9, 2014.