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CASA BLANCA OUTPATIENT SERVICES NPI 1144798018


NPI Information

NPI: 1144798018
Provider Name: CASA BLANCA OUTPATIENT SERVICES

Doing Business As: UNIVERSAL TREATMENT

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
3246 CAHUENGA BLVD W
LOS ANGELES, CA
ZIP 90068
Phone: (310) 795-4066
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CASA BLANCA OUTPATIENT SERVICES is a substance abuse rehabilitation facility in Los Angeles, 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. CASA BLANCA OUTPATIENT SERVICES NPI is 1144798018. The provider is registered as an organization entity type.
The provider Is Doing Business As Universal Treatment.

The provider's business location address is:

3246 CAHUENGA BLVD W
LOS ANGELES, CA
ZIP 90068-302
Phone: (310) 795-4066

The provider's authorized official is Jason Vaughn Shoemaker .
The authorized official title is Ceo and has the following contact phone number (310) 795-4066.

The enumeration date for this NPI number is 11/8/2018 and was last updated on 5/6/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
2324500000XSubstance 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: 4/28/2024

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