Organization
TIKVA TREATMENT LLC
Active
Other names
THE HAVEN AT PISMO
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARI HIRT MBA (OWNER/CEO)
(805) 202-3440
Entity
Organization
Contact information
Practice address
621 E GRANDE AVE, ARROYO GRANDE, CA 93420
(805) 202-3440
(805) 202-3441
Mailing address
391 FRONT STREET, SUITE F, GROVER BEACH, CA 93433
(805) 202-3440
(805) 202-3441
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
400009BP
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
400009BP
STATE OF CALIFORNIA DEPT OF HEALTH
CA
Enumeration date
07/12/2016
Last updated
03/01/2019
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