Individual provider · Type 1 NPI

Georgina R. Vitale-Hansen

Substance Abuse Rehabilitation Facility · Fullerton, CA

NPI number 1851480016 Active

Practice location

771 W Orangethorpe Ave
Fullerton, CA 92832-2806

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.

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About NPI 1851480016

Georgina R. Vitale-Hansen's National Provider Identifier is 1851480016, issued on Oct 12, 2006. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Fullerton, CA. The record was last updated on Jul 8, 2007.