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Nirvana Drug And Alcohol Institute
Substance Abuse Rehabilitation Facility in Modesto, California
NPI 1811200439

Nirvana Drug And Alcohol Institute is a Substance Abuse Rehabilitation Facility based in Modesto, CA. Nirvana Drug And Alcohol Institute practices in Modesto, CA. The NPI Number for Nirvana Drug And Alcohol Institute is 1811200439 and holds a License No. 50009EN (California).

The current practice location address for Nirvana Drug And Alcohol Institute is 1028 Reno Ave, Modesto, CA and can be reached out via phone at 209-579-1103 and via fax at 209-578-1085.

Location: 1028 Reno Ave, Modesto, CA, 95351-1596
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1811200439
Provider Name
Nirvana Drug And Alcohol Institute
Credential
Provider Entity Type
Organization
Address
1028 Reno Ave, Modesto, CA, 95351-1596
Phone Number
209-579-1103
Fax Number
209-578-1085
Provider Enumeration Date
07/24/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500009EN 01 CA DEPARTMENT OF ALCOHOL AND DRUG PROGRAMS
institution
Provider Business Practice Location Address Details
Address
1028 Reno Ave
City
Modesto
State
California
Zip
95351-1127
Phone Number
209-579-1103
Fax Number
209-578-1085
person
Provider Business Mailing Address Details
Address
1028 Reno Ave
City
Modesto
State
California
Zip
95351-1127
Phone Number
209-579-1103
Fax Number
209-578-1085
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
50009EN (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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