Organization
EL CENTRO DE AMISTAD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARISOL EDITH NUNEZ M.S. (MENTAL HEALTH CLINICIAN)
(818) 726-1271
Entity
Organization
Contact information
Practice address
7038 OWENSMOUTH AVE, CANOGA PARK, CA 91303-3198
(818) 347-8565
Mailing address
12817 BURBANK BLVD., 6, VALLEY VILLAGE, CA 91607
(818) 726-1271
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
IMF76860
CA
Other
Enumeration date
02/25/2015
Last updated
02/25/2015
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