Nirvana Drug And Alcohol Treatment Institute
LBN: Nirvana Drug And Alcohol Treatment Institute
Nirvana Drug And Alcohol Treatment Institute is an health care organization with primary practice located at 1116 Alice St , Modesto CA 95350-5905. 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 Treatment Institute can be contacted via phone (209) 578-3132, or through Bagley, Michael Edward via phone (209) 579-1151.
Contact Information
Primary practice address
1116 Alice St
Modesto CA 95350-5905
Phone: (209) 578-3132
Fax: (209) 578-3498
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Substance Abuse Rehabilitation Facility | 324500000X | 500009GN | California |
Profile Details
| NPI number | 1639539661 |
|---|---|
| LBN Legal business name | Nirvana Drug And Alcohol Treatment Institute |
| DBA Doing business as | |
| Authorized official | Bagley, Michael Edward CADC II, NADC, SAP |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 3rd, 2016 |
| Last updated | Mar 3rd, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639539661 | NPPES |
| California | Other | 500009GN | DEPARTMENT OF HEALTH CARE SERVICES |
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