Provider Demographics
NPI:1215451935
Name:VCAT TREATMENT CENTER LLC
Entity type:Organization
Organization Name:VCAT TREATMENT CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NADER
Authorized Official - Middle Name:
Authorized Official - Last Name:BABAI SIAHDOHONI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:949-769-1372
Mailing Address - Street 1:3151 AIRWAY AVE STE C3
Mailing Address - Street 2:
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92626-4622
Mailing Address - Country:US
Mailing Address - Phone:949-769-1372
Mailing Address - Fax:
Practice Address - Street 1:3151 AIRWAY AVE STE C3
Practice Address - Street 2:
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92626-4622
Practice Address - Country:US
Practice Address - Phone:949-769-1372
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INSPIRE HEALTH LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-08-03
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103TA0400X, 261QM0801X, 261QR0405X
CAPSY28098261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)Group - Multi-Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Multi-Specialty
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use DisorderGroup - Multi-Specialty