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Mr. John Nipper
Substance Abuse Rehabilitation Facility in Mira Loma, California
NPI 1710285283

John Nipper is a Substance Abuse Rehabilitation Facility based in Mira Loma, CA. John Nipper practices in Mira Loma, CA. The NPI Number for John Nipper is 1710285283 and holds a License No. (California).

The current practice location address for John Nipper is 11221 Holmes Ave, Mira Loma, CA and can be reached out via phone at 951-741-5004.

Location: 11221 Holmes Ave, Mira Loma, CA, 91752-2552
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710285283
Provider Name
John Nipper
Credential
Provider Entity Type
Individual
Gender
Male
Address
11221 Holmes Ave, Mira Loma, CA, 91752-2552
Phone Number
951-741-5004
Fax Number
Provider Enumeration Date
03/08/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
101YA0400X 01 CA DOA COUNSELOR
institution
Provider Business Practice Location Address Details
Address
11221 Holmes Ave
City
Mira Loma
State
California
Zip
91752-2552
Phone Number
951-741-5004
Fax Number
person
Provider Business Mailing Address Details
Address
11221 Holmes Ave
City
Mira Loma
State
California
Zip
91752-2552
Phone Number
951-741-5004
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
(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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