Organization
ASC TREATMENT GROUP
Active
Other names
Anne Sippi Clinic Community Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONETTA JACKSON (ADMINISTRATOR)
(323) 318-2520
Entity
Organization
Contact information
Practice address
5335 CRANER AVE, NORTH HOLLYWOOD, CA 91601-3313
(626) 872-6632
Mailing address
2457 ENDICOTT ST, LOS ANGELES, CA 90032-3047
(323) 227-5252
(323) 227-9032
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MFC38512
CA
Other
Enumeration date
02/26/2007
Last updated
08/28/2020
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