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Desire 4 Change Living Iop
Substance Abuse Rehabilitation Facility in Granada Hills, California
NPI 1548708365

Desire 4 Change Living Iop is a Substance Abuse Rehabilitation Facility based in Granada Hills, CA. Desire 4 Change Living Iop practices in Granada Hills, CA. The NPI Number for Desire 4 Change Living Iop is 1548708365 and holds a License No. (California).

The current practice location address for Desire 4 Change Living Iop is 17019 San Jose St, Granada Hills, CA and can be reached out via phone at 310-345-9618.

Location: 17019 San Jose St, Granada Hills, CA, 91344-6238
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1548708365
Provider Name
Desire 4 Change Living Iop
Credential
Provider Entity Type
Organization
Address
17019 San Jose St, Granada Hills, CA, 91344-6238
Phone Number
310-345-9618
Fax Number
Provider Enumeration Date
02/01/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
17019 San Jose St
City
Granada Hills
State
California
Zip
91344-6238
Phone Number
310-345-9618
Fax Number
person
Provider Business Mailing Address Details
Address
17019 San Jose St
City
Granada Hills
State
California
Zip
91344-6238
Phone Number
310-345-9618
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
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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