TIKVA TREATMENT LLC NPI 1831541986

NPI Information

  • NPI: 1831541986
  • Provider Name: TIKVA TREATMENT LLC
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • Doing Business As: THE HAVEN AT PISMO
  • Address: 621 E GRANDE AVE
    ARROYO GRANDE, CA
    ZIP 93420
  • Phone: (805) 202-3440

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NPI Details

TIKVA TREATMENT LLC is a rehabilitation and substance use disorder clinic center in Arroyo Grande, CA. TIKVA TREATMENT LLC NPI is 1831541986. 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:

621 E GRANDE AVE
ARROYO GRANDE, CA
ZIP 93420
Phone: (805) 202-3440
Fax: (805) 202-3441

The provider's authorized official is Ari Hirt .
The authorized official title is Owner/ceo and has the following contact phone number (805) 202-3440.

The enumeration date for this NPI number is 7/12/2016 and was last updated on 3/1/2019.

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
1261QR0405XClinic/CenterRehabilitation, Substance Use Disorder400009BPCALIFORNIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1400009BPOTHERCALIFORNIASTATE 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: 11/21/2025

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