Organization
JJ SLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN SANDOVAL BACHELORS (EXECUTIVE DIRECTOR)
(818) 726-8238
Entity
Organization
Contact information
Practice address
9907 CANOGA AVE, CHATSWORTH, CA 91311-3000
(323) 839-1428
Mailing address
13247 SAYRE ST, SYLMAR, CA 91342-2537
(818) 726-8238
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/10/2021
Last updated
03/10/2021
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