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Alta Drive Llc
Substance Abuse Rehabilitation Facility in Simi Valley, California
NPI 1043802143

Alta Drive Llc is a Substance Abuse Rehabilitation Facility based in Simi Valley, CA. Alta Drive Llc practices in Simi Valley, CA. The NPI Number for Alta Drive Llc is 1043802143 and holds a License No. (California).

The current practice location address for Alta Drive Llc is 4015 Peoria Ave, Simi Valley, CA and can be reached out via phone at 805-584-2592.

Location: 4015 Peoria Ave, Simi Valley, CA, 93063-1657
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043802143
Provider Name
Alta Drive Llc
Credential
Provider Entity Type
Organization
Address
4015 Peoria Ave, Simi Valley, CA, 93063-1657
Phone Number
805-584-2592
Fax Number
Provider Enumeration Date
02/09/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1831741800 01 CA PPO
institution
Provider Business Practice Location Address Details
Address
4015 Peoria Ave
City
Simi Valley
State
California
Zip
93063-1657
Phone Number
805-584-2592
Fax Number
person
Provider Business Mailing Address Details
Address
4015 Peoria Ave
City
Simi Valley
State
California
Zip
93063-1657
Phone Number
805-584-2592
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
()
Definition
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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