Organization
MATERNITY HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL PRIETO (CEO)
(818) 943-7777
Entity
Organization
Contact information
Practice address
10300 KURT ST, LAKE VIEW TERRACE, CA 91342-6933
(818) 943-7777
(818) 686-6463
Mailing address
10300 KURT ST, LAKE VIEW TERRACE, CA 91342-6933
(818) 943-7777
(818) 686-6463
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
190475AP
CA
Other
Enumeration date
04/04/2007
Last updated
08/22/2020
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