The Haven At Pismo

LBN: Tikva Treatment
The Haven At Pismo is an health care organization with primary practice located at 107 Nelson St , Arroyo Grande CA 93420-3318. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Tikva Treatment can be contacted via phone (805) 202-3440, or through Hirt, Ari via phone (310) 502-6991.

Contact Information

Primary practice address
107 Nelson St Arroyo Grande CA 93420-3318
Fax: (888) 510-9071
Website:
Authorized official contact:
Name: Hirt, Ari MBA

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 400009AP California

Profile Details

NPI number 1871048769
LBN Legal business name Tikva Treatment
DBA Doing business as The Haven At Pismo
Authorized official Hirt, Ari MBA
Entity Organization
Organization subpart 1 No
Enumeration date Aug 20th, 2016
Last updated Aug 20th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871048769 NPPES
California Other 400009AP STATE OF CALIFORNIA DEPT OF HEALTH

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