CIVANA TREATMENT CENTER INC NPI 1346984804

NPI Information

NPI: 1346984804
Provider Name: CIVANA TREATMENT CENTER INC

Doing Business As: CIVANA HEALTH & WELLNESS

Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
14526 ROSCOE BLVD STE 200
PANORAMA CITY, CA
ZIP 91402
Phone: (747) 236-7108
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CIVANA TREATMENT CENTER INC is an adult mental health clinic center in Panorama City, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. CIVANA TREATMENT CENTER INC NPI is 1346984804. The provider is registered as an organization entity type.
The provider Is Doing Business As Civana Health & Wellness.

The provider's business location address is:

14526 ROSCOE BLVD STE 200
PANORAMA CITY, CA
ZIP 91402-148
Phone: (747) 236-7108

The provider's authorized official is Albert Poghosyan .
The authorized official title is Program Director and has the following contact phone number (818) 913-5404.

The CLIA number assigned to this NPI record is 05D2289451 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/21/2022 and was last updated on 4/21/2022.

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	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	No
2	324500000X	Substance Abuse Rehabilitation Facility		No
3	261QM0850X	Clinic/Center	Adult Mental Health	Yes

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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