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Lessa Ileana Acosta
Substance Abuse Rehabilitation Facility in Acton, California
NPI 1275003543

Lessa Ileana Acosta is a Substance Abuse Rehabilitation Facility based in Acton, CA. Lessa Ileana Acosta practices in Acton, CA. The NPI Number for Lessa Ileana Acosta is 1275003543 and holds a License No. 190001AN (California).

The current practice location address for Lessa Ileana Acosta is 30500 Arrastre Canyon Rd., Acton, CA and can be reached out via phone at 661-223-8751 and via fax at 661-269-0427.

Location: 30500 Arrastre Canyon Rd., Acton, CA, 93510-2160
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275003543
Provider Name
Lessa Ileana Acosta
Credential
Provider Entity Type
Individual
Gender
Female
Address
30500 Arrastre Canyon Rd., Acton, CA, 93510-2160
Phone Number
661-223-8751
Fax Number
661-269-0427
Provider Enumeration Date
11/29/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1316397938 01 CA ANTELOPE VALLEY REHABILITATION CENTERS RESIDENTIAL
institution
Provider Business Practice Location Address Details
Address
30500 Arrastre Canyon Rd.
City
Acton
State
California
Zip
93510
Phone Number
661-223-8751
Fax Number
661-269-0427
person
Provider Business Mailing Address Details
Address
30500 Arrastre Canyon Rd.
City
Acton
State
California
Zip
93510
Phone Number
661-223-8751
Fax Number
661-269-0427
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
190001AN (California)
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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