institution
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. You can also correspond with Nirvana Drug And Alcohol through the mailing address at 1100 KANSAS AVE, MODESTO, CA - 95351-1596 (mailing address contact number: 209-579-1151).

Location: 1100 Kansas Ave Ste Bc&D, Modesto, CA, 95351-1596
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
State
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
State
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
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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