Organization
CALIFORNIA DRUG TREATMENT PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL SCHWARTZE CCDC (PROGRAM DIRECTOR)
(323) 756-9933
Entity
Organization
Contact information
Practice address
9001 S VERMONT AVE, LOS ANGELES, CA 90044-4835
(323) 756-9933
(323) 756-9515
Mailing address
9001 S VERMONT AVE, LOS ANGELES, CA 90044-4835
(323) 756-9933
(323) 756-9515
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1275668105
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275668105
MEDICAL
CA
Enumeration date
12/17/2013
Last updated
12/17/2013
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