institution
Nirvana Drug And Alcohol Treatment Institute
Substance Abuse Rehabilitation Facility in Modesto, California
NPI 1639539661

Nirvana Drug And Alcohol Treatment Institute is a Substance Abuse Rehabilitation Facility based in Modesto, CA. Nirvana Drug And Alcohol Treatment Institute practices in Modesto, CA. The NPI Number for Nirvana Drug And Alcohol Treatment Institute is 1639539661 and holds a License No. 500009GN (California).

The current practice location address for Nirvana Drug And Alcohol Treatment Institute is 1116 Alice St, Modesto, CA and can be reached out via phone at 209-578-3132 and via fax at 209-578-3498. You can also correspond with Nirvana Drug And Alcohol Treatment Institute through the mailing address at 1100 KANSAS AVE, MODESTO, CA - 95351-1596 (mailing address contact number: 209-579-1151).

Location: 1116 Alice St, Modesto, CA, 95351-1596
institution
Provider Profile Details
NPI Number
1639539661
Provider Name
Nirvana Drug And Alcohol Treatment Institute
Credential
Provider Entity Type
Organization
Address
1116 Alice St, Modesto, CA, 95351-1596
Phone Number
209-578-3132
Fax Number
209-578-3498
Provider Enumeration Date
03/03/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500009GN 01 CA DEPARTMENT OF HEALTH CARE SERVICES
institution
Provider Business Practice Location Address Details
Address
1116 Alice St
City
State
Zip
95350-5905
Phone Number
209-578-3132
Fax Number
209-578-3498
person
Provider Business Mailing Address Details
Address
1116 Alice St
City
State
Zip
95350-5905
Phone Number
209-578-3132
Fax Number
209-578-3498
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
License No.
500009GN (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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