Organization
CASABLANCA OUTPATIENT
Active
Parent organization
CASABLANCA OUTPATIENT
Organization subpart
Yes
Provider details
NPI number
Legal business name
CASABLANCA OUTPATIENT
Authorized official
RICHARD GALVAN (OWNER)
(818) 731-2738
Entity
Organization
Contact information
Practice address
3246 CAHUENGA BLVD W, LOS ANGELES, CA 90068-1302
(818) 731-2738
Mailing address
11319 OVERLOOK TRL, KAGEL CANYON, CA 91342-6200
(818) 731-2738
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
04/04/2019
Last updated
04/04/2019
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