institution
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. You can also correspond with Nirvana Drug And Alcohol Institute through the mailing address at 1100 KANSAS AVE, MODESTO, CA - 95351-1596 (mailing address contact number: 209-579-1151).

Location: 1028 Reno Ave, Modesto, CA, 95351-1596
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
State
Zip
95351-1127
Phone Number
209-579-1103
Fax Number
209-578-1085
person
Provider Business Mailing Address Details
Address
1028 Reno Ave
City
State
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
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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