Organization
JACK LONDON CONTINUATION SCHOOL
Active
Parent organization
VAN NUYS ALCOHOL & DRUG TREATMENT
Organization subpart
Yes
Provider details
NPI number
Legal business name
VAN NUYS ALCOHOL & DRUG TREATMENT
Authorized official
MS. ELIZABETH MACIAS B.A. LIBERAL ARTS (PROGRAM DIRECTOR)
(818) 787-4151
Entity
Organization
Contact information
Practice address
12924 OXNARD ST, VAN NUYS, CA 91401-4104
(818) 787-4151
(818) 787-2840
Mailing address
14558 SYLVAN ST, VAN NUYS, CA 91411-2324
(818) 787-4151
(818) 787-2840
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
190327AP
CA
Other
Enumeration date
07/11/2008
Last updated
07/11/2008
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