Studio 12 in Valley Village - Substance Abuse Rehabilitation Facility

Studio 12 - NPI 1144422817

Studio 12 is a Substance Abuse Rehabilitation Facility in Valley Village, California. Studio 12 practices all healthcare services and medical treatments related to Substance Abuse Rehabilitation Facility. The NPI Number for Studio 12 is 1144422817. The last update date is 2020-08-22.

Studio 12's current location address is 12406 Magnolia Blvd, Valley Village, California. You can contact this provider via phone number 8187617374 and fax number 8187617377. The mailing address for Studio 12 is 12406 Magnolia Blvd, Valley Village, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Studio 12
Address 12406 Magnolia Blvd, Valley Village, California
Phone Number 8187617374
Fax Number 8187617377
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CEO
Authorized Official Name Fiske W. Alan
Telephone Number 8187617374

NPI Number Detail

NPI Number 1144422817
Provider Enumeration Date 2007-06-04
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 12406 Magnolia Blvd
City Valley Village
State California (CA)
Post Code 916072415
Phone Number 8187617374
Fax Number 8187617377

Provider's Primary Taxonomy Detail

Speciality Substance Abuse Rehabilitation Facility
Taxonomy 324500000X
Licence No 190361AN
Definition:
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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FAQs about Studio 12

What is the unique 10-digit identifier code issued to Studio 12 by the Centers for Medicare & Medicaid Services?

The Studio 12 has been assigned the NPI (National Provider Identifier) 1144422817 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Studio 12's facilities are geographically located?

The facilities of Studio 12 are physically situated at the following location: 12406 Magnolia Blvd, Valley Village, CA, 916072415.

What is Studio 12's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Studio 12 is Substance Abuse Rehabilitation Facility, and the taxonomy code that categorizes this field of expertise is 324500000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1144422817 to Studio 12?

The Studio 12 received its 1144422817 assignment from the Centers for Medicare & Medicaid Services on 2007-06-04.

As of what date was the information regarding Studio 12, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Studio 12, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.

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