# NCADD-SFV

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386100907
- **Authorized official:** MS. KAREN MARDER CADC-II (SUPERVISOR OF CLINICAL SERVICES)
- **Authorized official phone:** (818) 997-0414

## Contact information

- **Practice address:** 6166 VESPER AVE, VAN NUYS, CA 91411-2851
- **Practice address phone:** (818) 997-0414
- **Practice address fax:** (818) 785-3641
- **Mailing address:** 6166 VESPER AVE, VAN NUYS, CA 91411-2851
- **Mailing address phone:** (818) 997-0414
- **Mailing address fax:** (818) 785-3641

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/19/2019
- **Last updated:** 02/19/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 02106211 | — | CA |