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DREAM BIG MF INC NPI 1962035683


NPI Information

NPI: 1962035683
Provider Name: DREAM BIG MF, INC

Doing Business As: GLORIA DETOX AND REHAB CENTER

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 05D2203780

Address:
6511 GLORIA AVE
VAN NUYS, CA
ZIP 91406
Phone: (747) 221-7777
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DREAM BIG MF, INC is a substance abuse rehabilitation facility in Van Nuys, 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. DREAM BIG MF, INC NPI is 1962035683. The provider is registered as an organization entity type.
The provider Is Doing Business As Gloria Detox And Rehab Center.

The provider's business location address is:

6511 GLORIA AVE
VAN NUYS, CA
ZIP 91406-442
Phone: (747) 221-7777

The provider's authorized official is Inga Abgaryan .
The authorized official title is Owner and has the following contact phone number (707) 500-3030.

The CLIA number assigned to this NPI record is 05D2203780 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/20/2020 and was last updated on 4/20/2023.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1324500000XSubstance Abuse Rehabilitation FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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