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Tavarua Rehabilitation Services
Methadone Clinic in Azusa, California
NPI 1841679131

Tavarua Rehabilitation Services is a Methadone Clinic based in Azusa, CA and is specialized in Methadone. Tavarua Rehabilitation Services practices in Azusa, CA. The NPI Number for Tavarua Rehabilitation Services is 1841679131 and holds a License No. RW4776 (California).

The current practice location address for Tavarua Rehabilitation Services is 474 S Citrus Ave, Azusa, CA and can be reached out via phone at 626-858-9500 and via fax at 626-858-9090.

Location: 474 S Citrus Ave, Azusa, CA, 91702-4733
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1841679131
Provider Name
Tavarua Rehabilitation Services
Credential
Provider Entity Type
Organization
Address
474 S Citrus Ave, Azusa, CA, 91702-4733
Phone Number
626-858-9500
Fax Number
626-858-9090
Provider Enumeration Date
05/20/2015
Last Update Date
07/20/2024
institution
Provider Business Practice Location Address Details
Address
474 S Citrus Ave
City
Azusa
State
California
Zip
91702-4733
Phone Number
626-858-9500
Fax Number
626-858-9090
person
Provider Business Mailing Address Details
Address
474 S Citrus Ave
City
Azusa
State
California
Zip
91702-4733
Phone Number
626-858-9500
Fax Number
626-858-9090
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
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
261QM2800X
License No.
RW4776 (California)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
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