KALI WEST LLC NPI 1164968590

NPI Information

KALI WEST, LLC is a substance abuse rehabilitation facility in Carlsbad, CA. The provider is 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. KALI WEST, LLC NPI is 1164968590. The provider is registered as an organization entity type.
The provider Is Doing Business As Villa Kali Ma.

The provider's business location address is:

2912 MANAGUA PL
CARLSBAD, CA
ZIP 92009-105
Phone: (619) 246-8862
Fax: (760) 683-5152

The provider's authorized official is Kay White .
The authorized official title is Ceo and has the following contact phone number (619) 246-8862.

The CLIA number assigned to this NPI record is 05D2137239 - other - sud treatment center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/9/2017 and was last updated on 1/9/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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