POM POM CASTLE NPI 1760753990

NPI Information

NPI: 1760753990
Provider Name: POM POM CASTLE

Doing Business As: CLEAN AND FREE

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
14540 HAMLIN ST
SUITE D
VAN NUYS, CA
ZIP 91411
Phone: (818) 994-6876
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POM POM CASTLE is a rehabilitation and substance use disorder clinic center in Van Nuys, CA. POM POM CASTLE NPI is 1760753990. The provider is registered as an organization entity type.
The provider Is Doing Business As Clean And Free.

The provider's business location address is:

14540 HAMLIN ST
SUITE D
VAN NUYS, CA
ZIP 91411-626
Phone: (818) 994-6876
Fax: (818) 997-6878

The provider's authorized official is Belinda Baker .
The authorized official title is Executive Director and has the following contact phone number (323) 294-1576.

The enumeration date for this NPI number is 1/19/2012 and was last updated on 1/19/2012.

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	License Number	License State	Primary
1	261QM0855X	Clinic/Center	Adolescent and Children Mental Health			No
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			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: 5/5/2024

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