Nebo Hill Treatment Center

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

NEBO HILL TREATMENT CENTER

Practice address

7720 Lupine Rd
Agua Dulce, CA 91390-3496

Phone

(818) 800-0830

NPI assigned

Aug 27, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Vilson Manusyants

Title

Ceo

Phone

(818) 800-0830

Specialties & licenses 2

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1724716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1508690173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7720 LUPINE RD",
            "city": "AGUA DULCE",
            "state": "CA",
            "postal_code": "913903496",
            "telephone_number": "818-800-0830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7720 LUPINE RD",
            "city": "AGUA DULCE",
            "state": "CA",
            "postal_code": "913903496",
            "telephone_number": "818-800-0830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEBO HILL TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-27",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "MANUSYANTS",
        "authorized_official_first_name": "VILSON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-800-0830",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Mary Dalton, R.D.
• Vivian Sheila Dungan
• Sophie Forbes-Johnson, MS
• Curtis Lee Garrick, D.C.
• Doug Allen Gustafson, ARDMS,RVT,RDCS
• Jonathan Pascual Rosales
• Senior Home Care la
• Debra Kay Smith, LMFT
• Cynthia Nicole Valdez

• Substance Abuse Rehabilitation Facility in Agua Dulce, CA
• Providers in Agua Dulce, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.