NIRVANA DRUG AND ALCOHOL NPI 1215204276

NPI Information

NIRVANA DRUG AND ALCOHOL is a substance abuse rehabilitation facility in Modesto, 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. NIRVANA DRUG AND ALCOHOL NPI is 1215204276. The provider is registered as an organization entity type.

The provider's business location address is:

1100 KANSAS AVE STE BC&D
MODESTO, CA
ZIP 95351-596
Phone: (209) 579-1151
Fax: (209) 579-9605

The provider's authorized official is Dane T Helding .
The authorized official title is Executive Director and has the following contact phone number (209) 579-1151.

The enumeration date for this NPI number is 11/18/2011 and was last updated on 5/28/2019.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.