Organization
SAN FERNANDO RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE MARTINEZ (EXECUTIVE DIRECTOR)
(747) 500-9405
Entity
Organization
Contact information
Practice address
1024 N MACLAY AVE, UNIT G, N, SAN FERNANDO, CA 91340
(747) 500-9405
Mailing address
762 GRISWOLD AVE, SAN FERNANDO, CA 91340-2105
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
04/21/2026
Last updated
04/21/2026
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