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Nirvana Drug And Alcohol
Substance Abuse Rehabilitation Facility in Modesto, California
NPI 1215204276

Nirvana Drug And Alcohol is a Substance Abuse Rehabilitation Facility based in Modesto, CA. Nirvana Drug And Alcohol practices in Modesto, CA. The NPI Number for Nirvana Drug And Alcohol is 1215204276 and holds a License No. (California).

The current practice location address for Nirvana Drug And Alcohol is 1100 Kansas Ave Ste Bc&D, Modesto, CA and can be reached out via phone at 209-579-1151 and via fax at 209-579-9605.

Location: 1100 Kansas Ave Ste Bc&D, Modesto, CA, 95351-1596
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215204276
Provider Name
Nirvana Drug And Alcohol
Credential
Provider Entity Type
Organization
Address
1100 Kansas Ave Ste Bc&D, Modesto, CA, 95351-1596
Phone Number
209-579-1151
Fax Number
209-579-9605
Provider Enumeration Date
11/18/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500009CN 01 CA DEPARTMENT OF HEALTH CARE SERVICES
institution
Provider Business Practice Location Address Details
Address
1100 Kansas Ave Ste Bc&D
City
Modesto
State
California
Zip
95351-1596
Phone Number
209-579-1151
Fax Number
209-579-9605
person
Provider Business Mailing Address Details
Address
1100 Kansas Ave Ste Bc&D
City
Modesto
State
California
Zip
95351-1596
Phone Number
209-579-1151
Fax Number
209-579-9605
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
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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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