TIKVA TREATMENT LLC NPI 1831541986

NPI Information

NPI: 1831541986
Provider Name: TIKVA TREATMENT LLC

Doing Business As: THE HAVEN AT PISMO

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

Specialization: Rehabilitation, Substance Use Disorder

Address:
621 E GRANDE AVE
ARROYO GRANDE, CA
ZIP 93420
Phone: (805) 202-3440
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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
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	400009BP	CALIFORNIA	Yes

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
1	400009BP	OTHER	CALIFORNIA	STATE 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: 11/14/2023

NPI Synchronization or Removal

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