Organization
CALIFORNIA CARE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VARDAN MNATSAKANYAN (EXECUTIVE DIRECTOR)
(818) 551-0026
Entity
Organization
Contact information
Practice address
501 E HARVARD ST, UNIT A, GLENDALE, CA 91205-1114
(818) 551-0026
(818) 551-0027
Mailing address
501 E HARVARD ST, UNIT A, GLENDALE, CA 91205-1114
(818) 551-0026
(818) 551-0027
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
CA
Other
Enumeration date
09/07/2012
Last updated
09/07/2012
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