Nirvana Drug and Alcohol Treatment Institute
Nirvana Drug and Alcohol Treatment Institute is a Substance Abuse Rehabilitation Facility in Modesto, California. Licensed in California. Registered with an NPI since 2016.
- Licensed in
- CA
- In the registry since
- 2016
Practice location Address checks out
1116 Alice StModesto, CA 95350-5905
Phone: (209) 578-3132
Fax: (209) 578-3498
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Substance Abuse Rehabilitation Facility (primary) | Taxonomy 324500000X · Licence 500009GN (CA) |
|---|
Record details
| NPI number | 1639539661 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Bagley — Cfo · (209) 579-1151 |
| NPI enumerated | March 3, 2016 |
| Last updated in NPPES | March 3, 2016 |
| Mailing address | 1100 Kansas Ave, Suite B, Modesto, CA 95351-1596 |
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