is a Rehabilitation, Substance Use Disorder in Northridge, California. practices all healthcare services and medical treatments related to Rehabilitation, Substance Use Disorder. The NPI Number for is 1457561383. The last update date is .
's current location address is 19300 Rinaldi Street, Northridge, California. You can contact this provider via phone number 9098218023 and fax number 8188044047. The mailing address for is 19300 Rinaldi Street, Northridge, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | |
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Address | 19300 Rinaldi Street, Northridge, California |
Phone Number | 9098218023 |
Fax Number | 8188044047 |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1457561383 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | 19300 Rinaldi Street |
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City | Northridge |
State | California (CA) |
Post Code | 913279998 |
Phone Number | 9098218023 |
Fax Number | 8188044047 |
Provider's Primary Taxonomy Detail
Speciality | Rehabilitation, Substance Use Disorder |
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Taxonomy | 261Qr0405X |
Licence No | 190413CCP |
Definition: Provides therapeutic interventions to treat alcohol and drug addiction. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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7252 | CA | DMC PROVIDER NUMBER |
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