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WISDOM TREATMENT LLC NPI 1700258829


NPI Information

NPI: 1700258829
Provider Name: WISDOM TREATMENT, LLC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
7361 TOPANGA CANYON BLVD
CANOGA PARK, CA
ZIP 91303
Phone: (818) 489-4592
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WISDOM TREATMENT, LLC is a substance abuse rehabilitation facility in Canoga Park, 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. WISDOM TREATMENT, LLC NPI is 1700258829. The provider is registered as an organization entity type.

The provider's business location address is:

7361 TOPANGA CANYON BLVD
CANOGA PARK, CA
ZIP 91303-387
Phone: (818) 489-4592

The provider's authorized official is Aaron Barsalou .
The authorized official title is Program Director and has the following contact phone number (818) 489-4592.

The enumeration date for this NPI number is 10/28/2015 and was last updated on 10/26/2020.


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
1324500000XSubstance Abuse Rehabilitation FacilityYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1190887APOTHERCALIFORNIACALIFORNIA CERTIFICATION

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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