Organization · Type 2 NPI

Nirvana Drug and Alcohol Treatment Program

Substance Abuse Rehabilitation Facility · Modesto, CA

NPI number 1811200439 Active

Practice location

1028 Reno Ave
Modesto, CA 95351-1127

Call (209) 579-1103 Map

Fax (209) 578-1085

Mailing address

1100 Kansas Ave Ste B
Modesto, CA 95351-1596

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000X50009EN (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 1811200439

Nirvana Drug and Alcohol Treatment Program's National Provider Identifier is 1811200439, issued on Jul 24, 2010. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Modesto, CA. The record was last updated on Sep 25, 2026.