MIKE DUANE HETLAND NPI 1760681472

NPI Information

Mike Duane Hetland is a substance abuse rehabilitation facility in Merced, 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. Mike Duane Hetland NPI is 1760681472. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1301 YOSEMITE PKWY
MERCED, CA
ZIP 95340-203
Phone: (209) 722-6335
Fax: (209) 722-6371

The enumeration date for this NPI number is 7/12/2007 and was last updated on 7/12/2007.

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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