Organization
NARCOTIC ADDICTION TREATMENT AGENCY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE JARVIE (VP, TREASURER)
(214) 379-3300
Entity
Organization
Contact information
Practice address
8741 LAUREL CANYON BLVD, SUN VALLEY, CA 91352-2919
(818) 768-5525
Mailing address
8741 LAUREL CANYON BLVD, SUN VALLEY, CA 91352-2919
(818) 768-5525
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
19150
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19150
NTP LICENSE
CA
01
—
7128
DRUG MEDI-CAL
CA
Enumeration date
11/19/2007
Last updated
07/29/2024
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