Organization
ETHOS THERAPEUTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARRELL BUNCH JR. (CEO)
(818) 621-0379
Entity
Organization
Contact information
Practice address
13030 BRADLEY AVE, SYLMAR, CA 91342-3831
(818) 421-0416
Mailing address
PO BOX 923012, SYLMAR, CA 91392-3012
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/13/2024
Last updated
05/16/2024
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