Organization
A STEP IN THE RIGHT DIRECTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA ADAMS (BILLING DEPARTMENT)
(954) 746-8232
Entity
Organization
Contact information
Practice address
9535 RESEDA BLVD, 300, NORTHRIDGE, CA 91324-2310
(954) 746-8232
Mailing address
9535 RESEDA BLVD, 300, NORTHRIDGE, CA 91324-2310
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
06/13/2014
Last updated
07/03/2014
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