A Place To Heal INC.
Clinic/Center, Rehabilitation, Substance Use Disorder in Van Nuys, CA. Organization (NPI-2).
NPI number1073111613
StatusActive
Last updated in NPPESFeb 23, 2021
Details
- NPI
- 1073111613
- Entity type
- Organization (NPI-2)
- Legal business name
- A Place To Heal INC.
- Organization subpart
- No
- Enumeration date
- Oct 15, 2020
- Certification date
- Feb 23, 2021
- Last updated
- Feb 23, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | – | – | Yes |
| 251S00000X | Community/Behavioral Health | – | – | |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – | |
| 324500000X | Substance Abuse Rehabilitation Facility | – | – |
Practice location
14540 Hamlin St Ste HVan Nuys, CA 91411-4153
Phone 310-292-8796
Mailing address
14540 Hamlin St Ste AVan Nuys, CA 91411-4141
Phone 310-292-8796
Authorized official
Lakecia Higginbotham
Executive Director
3102928796
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