DIDI HIRSCH PSYCHIATRIC SERVICE NPI 1740539980

NPI Information

DIDI HIRSCH PSYCHIATRIC SERVICE is a substance abuse rehabilitation facility in Pacoima, 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. DIDI HIRSCH PSYCHIATRIC SERVICE NPI is 1740539980. The provider is registered as an organization entity type.
The provider Other Name Is Didi Hirsch Mhs - Via Avanta.

The provider's business location address is:

11643 GLENOAKS BLVD
PACOIMA, CA
ZIP 91331-050
Phone: (818) 897-2609
Fax: (818) 890-7159

The provider's authorized official is Dulce M Ruiz .
The authorized official title is Contracts & Grants Manager and has the following contact phone number (310) 751-5442.

The enumeration date for this NPI number is 9/4/2012 and was last updated on 10/8/2020.

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:

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