Organization
LEIGHTYL SUBSTANCE ABUSE COUNSELING REFERAL PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBYN LEIGH TAYLOR (PRESIDENT)
(818) 669-4123
Entity
Organization
Contact information
Practice address
18341 SHERMAN WAY, 213, RESEDA, CA 91335-4472
(818) 669-4123
Mailing address
18341 SHERMAN WAY, 213, RESEDA, CA 91335-4472
(818) 669-4123
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
07/08/2008
Last updated
07/08/2008
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