JACK LONDON CONTINUATION SCHOOL
NPI 1326202037
Substance Abuse Rehabilitation Facility in Van Nuys, CA

Active since July 11, 2008
12924 OXNARD ST, VAN NUYS, CA 91401(818) 787-4151(818) 787-2840 Get Directions Write a Review

NPPES record last updated: July 11, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Substance Abuse Rehabilitation Facility

About JACK LONDON CONTINUATION SCHOOL

This page provides the complete NPI Profile along with additional information for Jack London Continuation School, a provider established in Van Nuys, California operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1326202037 assigned on July 2008. The practitioner's primary taxonomy code is 324500000X with license number 190327AP (CA). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Ms. Elizabeth Macias B.a. Liberal Arts (Program Director)

NPI
1326202037 Verify this NPI
Provider Name
JACK LONDON CONTINUATION SCHOOL
Entity Type
Organization
Location Address
12924 OXNARD ST VAN NUYS, CA 91401
Location Phone
(818) 787-4151
Location Fax
(818) 787-2840
Mailing Address
14558 SYLVAN ST VAN NUYS, CA 91411
Mailing Phone
(818) 787-4151
Mailing Fax
(818) 787-2840
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
07-11-2008
Last Update Date
07-11-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Substance Abuse Rehabilitation Facility

Taxonomy Code
324500000X
Type
Residential Treatment Facilities
License No.
190327AP
License State
CA
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. ELIZABETH MACIAS B.A. LIBERAL ARTS

Authorized Official Title
PROGRAM DIRECTOR
Authorized Official Phone
(818) 787-4151

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326202037, enumerated as an "organization" on July 11, 2008.

The provider is located at 12924 OXNARD ST VAN NUYS, CA 91401 and the phone number is (818) 787-4151.

Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.