Organization · Type 2 NPI

Canyon at Santa Monica

Substance Abuse Rehabilitation Facility · Los Angeles, CA

NPI number 1891055802 Active

Practice location

12304 Santa Monica Blvd, Suite 112
Los Angeles, CA 90025-2551

Fax (615) 373-4656

Mailing address

1000 Health Park Drive, Building Three, Suite 400
Brentwood, TN 37027

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000X190746AP (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 1891055802

Canyon at Santa Monica's National Provider Identifier is 1891055802, issued on May 23, 2012. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Los Angeles, CA. The record was last updated on May 20, 2019.