Licasa Inc is a Substance Abuse Rehabilitation Facility based in Reseda, CA. Licasa Inc practices in Reseda, CA. The NPI Number for Licasa Inc is 1871198556 and holds a License No. (California).
The current practice location address for Licasa Inc is 7041 Reseda Blvd, Reseda, CA and can be reached out via phone at 818-210-6612.
Location: 7041 Reseda Blvd, Reseda, CA, 91335-4209
Provider Profile Details
NPI Number
1871198556
Provider Name
Licasa Inc
Credential
Provider Entity Type
Organization
Address
7041 Reseda Blvd, Reseda, CA, 91335-4209
Phone Number
818-210-6612
Fax Number
Provider Enumeration Date
12/01/2020
Last Update Date
03/13/2024
Provider Business Practice Location Address Details
Address
7041 Reseda Blvd
City
State
Zip
91335-4209
Phone Number
818-210-6612
Fax Number
Provider Business Mailing Address Details
Address
7041 Reseda Blvd
City
State
Zip
91335-4209
Phone Number
818-210-6612
Fax Number
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
License No.
()
Definition
Definition to come...
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
License No.
()
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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