Organization
COACHELLA VALLEY TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAM M NIKOGOSYAN (PROGRAM DIRECTOR)
(818) 441-1049
Entity
Organization
Contact information
Practice address
81709 DR CARREON BLVD STE B1, INDIO, CA 92201-5510
(818) 441-1049
Mailing address
815 S CENTRAL AVE STE 5, GLENDALE, CA 91204-2074
(818) 441-1049
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
Other
Enumeration date
03/26/2017
Last updated
03/26/2017
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