Organization
TIKVA TREATMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARI HIRT (CEO)
(310) 502-6991
Entity
Organization
Contact information
Practice address
170 NELSON STREET, SUITE 102, ARROYO GRANDE, CA 93420
(805) 202-3440
(888) 510-9071
Mailing address
170 NELSON STREET, SUITE 102, ARROYO GRANDE, CA 93420
(805) 202-3440
(888) 510-9071
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
400009CP
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
400009AP
DEPARTMENT OF HEALTH CARE SERVICES
CA
01
—
400009BP
DEPARTMENT OF HEALTH CARE SERVICES
CA
01
—
400009CP
DEPARTMENT OF HEALTH CARE SERVICES
CA
Enumeration date
09/01/2016
Last updated
09/01/2016
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