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BAY AREA TEENS LLC NPI 1760888168


NPI Information

NPI: 1760888168
Provider Name: BAY AREA TEENS, LLC
Classification: Substance Abuse Rehabilitation Facility - 3245S0500X
Entity Type: Organization

Specialization: Substance Abuse Treatment, Children

Address:
1203 LAS PALMAS DR
SANTA CLARA, CA
ZIP 95051
Phone: (408) 705-5200
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BAY AREA TEENS, LLC is a substance abuse treatment and children substance abuse rehabilitation facility in Santa Clara, CA. The provider is a facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. BAY AREA TEENS, LLC NPI is 1760888168. The provider is registered as an organization entity type.

The provider's business location address is:

1203 LAS PALMAS DR
SANTA CLARA, CA
ZIP 95051-923
Phone: (408) 705-5200

The provider's authorized official is Gillian August-thorp .
The authorized official title is Owner, Managing Member and has the following contact phone number (408) 705-5200.

The enumeration date for this NPI number is 11/12/2014 and was last updated on 11/12/2014.


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
13245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, Children435202483CALIFORNIAYes

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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