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DESIRE 4 CHANGE LIVING IOP
NPI 1548708365
Substance Abuse Rehabilitation Facility in Granada Hills, CA

Active since February 01, 2017
17019 SAN JOSE ST, GRANADA HILLS, CA 91344(310) 345-9618 Get Directions Write a Review

NPPES record last updated: April 6, 2017. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Mar 27, 2017, Feb 1, 2017 (2 updates tracked since 2017).

About Desire 4 Change Living Iop NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DESIRE 4 CHANGE LIVING IOP (NPI 1548708365) is a healthcare organization registered as a substance abuse rehabilitation facility in Granada Hills, California and active in the NPI registry since February 2017. The organization lists Kimberlee Saffore, Executive Program Director, as its authorized official.

NPPES Registry Identity

NPI1548708365
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameDESIRE 4 CHANGE LIVING IOP
Location Address17019 SAN JOSE STGranada Hills, CA 91344-6238
Mailing Address17019 San Jose StGranada Hills, CA 91344-6238
Phone(310) 345-9618
Organization SubpartNo
Authorized OfficialKimberlee SafforeExecutive Program Director · (310) 345-9618
Enumeration DateFebruary 1, 2017
Last NPPES UpdateApril 6, 20172 updates tracked since enumeration
✔ NPI 1548708365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
17019 SAN JOSE ST, Granada Hills, CA 91344
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Desire 4 Change Living Iop's NPI number?

The NPI number for Desire 4 Change Living Iop is 1548708365. It was assigned to this organization in the NPPES registry on February 1, 2017.

Where is Desire 4 Change Living Iop located?

Desire 4 Change Living Iop is located at 17019 San Jose St, Granada Hills, CA 91344. The listed phone number is (310) 345-9618.

What is Desire 4 Change Living Iop's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Desire 4 Change Living Iop was last updated on April 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.