# VIC JAMES CENTER

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

## Provider details

- **NPI number:** 1982348454
- **Authorized official:** SARAH ANDERSON (FOUNDER)
- **Authorized official phone:** (818) 679-1521

## Contact information

- **Practice address:** 12431 ROCHESTER AVE APT 208, LOS ANGELES, CA 90025-3391
- **Practice address phone:** (818) 679-1521
- **Mailing address:** 12431 ROCHESTER AVE APT 208, LOS ANGELES, CA 90025-3391

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 261QR0800X | Recovery Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/21/2022
- **Last updated:** 04/21/2022