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Organization

INTENSIVE OUTPATIENT EATING DISORDER PROGRAMS, INC,

Active
Other names
Safe Harbor
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DARLENE JOY MANICKMA M.A. LMFT (EXECUTIVE CLINICAL DIRECTOR)
(818) 702-6322
Entity
Organization

Contact information

Practice address
6325 TOPANGA CANYON BLVD, STE. 305, WOODLAND HILLS, CA 91367-2006
(818) 713-1312
(818) 713-1311
Mailing address
6325 TOPANGA CANYON BLVD, SUITE 305, WOODLAND HILLS, CA 91367-2006
(818) 713-1312
(818) 713-1311

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
32565
CA

Other

Enumeration date
02/08/2007
Last updated
09/16/2010
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