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TIKVA TREATMENT NPI 1770038663


NPI Information

NPI: 1770038663
Provider Name: TIKVA TREATMENT

Doing Business As: THE HAVEN AT PISMO

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
2030 IDYLLWILD PL
ARROYO GRANDE, CA
ZIP 93420
Phone: (805) 202-3440
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TIKVA TREATMENT is a substance abuse rehabilitation facility in Arroyo Grande, 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. TIKVA TREATMENT NPI is 1770038663. The provider is registered as an organization entity type.
The provider Is Doing Business As The Haven At Pismo.

The provider's business location address is:

2030 IDYLLWILD PL
ARROYO GRANDE, CA
ZIP 93420-601
Phone: (805) 202-3440
Fax: (888) 510-9071

The provider's authorized official is Ari Hirt .
The authorized official title is Ceo and has the following contact phone number (310) 502-6991.

The enumeration date for this NPI number is 8/20/2016 and was last updated on 8/20/2016.


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 Facility400009CPCALIFORNIAYes

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
1400009CPOTHERCALIFORNIASTATE OF CALIFORNIA DEPT OF HEALTH

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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