Nirvana Drug And Alcohol

LBN: Nirvana Drug And Alcohol
Nirvana Drug And Alcohol is an health care organization with primary practice located at 1100 Kansas Ave Ste Bc&D , Modesto CA 95351-1596. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Nirvana Drug And Alcohol can be contacted via phone (209) 579-1151, or through Helding, Dane T via phone (209) 579-1151.

Contact Information

Primary practice address
1100 Kansas Ave Ste Bc&D Modesto CA 95351-1596
Phone: (209) 579-1151
Fax: (209) 579-9605
Website:
Map and Directions
Authorized official contact:
Name: Helding, Dane T
Phone: (209) 579-1151

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1215204276
LBN Legal business name Nirvana Drug And Alcohol
DBA Doing business as
Authorized official Helding, Dane T
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 18th, 2011
Last updated May 28th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215204276 NPPES
California Other 500009CN DEPARTMENT OF HEALTH CARE SERVICES

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