Organization
PHASE THREE ATC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRANDAN FREEMAN (CEO)
(855) 740-1181
Entity
Organization
Contact information
Practice address
15720 VENTURA BLVD STE PH, ENCINO, CA 91436-2914
(855) 740-1181
Mailing address
PO BOX 280, BOYNTON BEACH, FL 33425-0280
(855) 740-1181
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
11/18/2021
Last updated
11/18/2021
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