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D & A DETOX CENTER INC. NPI 1366745622


NPI Information

NPI: 1366745622
Provider Name: D & A DETOX CENTER, INC.

Other Name: CREATING A LIFE OF MIRACLES

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
10586 MALAGA WAY
RANCHO CORDOVA, CA
ZIP 95670
Phone: (916) 364-3540
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D & A DETOX CENTER, INC. is a substance abuse rehabilitation facility in Rancho Cordova, 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. D & A DETOX CENTER, INC. NPI is 1366745622. The provider is registered as an organization entity type.
The provider Other Name Is Creating A Life Of Miracles.

The provider's business location address is:

10586 MALAGA WAY
RANCHO CORDOVA, CA
ZIP 95670-749
Phone: (916) 364-3540
Fax: (916) 364-3540

The provider's authorized official is Zelda Lee Troutman .
The authorized official title is Ceo and has the following contact phone number (916) 364-3540.

The enumeration date for this NPI number is 12/8/2010 and was last updated on 12/8/2010.


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
1324500000XSubstance Abuse Rehabilitation FacilityPENDINGCALIFORNIAYes

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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