Organization
TRAINING CENTER EPHESIANS 4:11-16
Active
Other names
TRAINING CENTER EPHESIAN 4:11-16, TRAINING CENTER EPHESIANS
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ALAN LAZARUS CATC-II (CENTER MANAGER)
(619) 327-5400
Entity
Organization
Contact information
Practice address
525 GRAND AVE, SPRING VALLEY, CA 91977-5933
(619) 327-5400
(619) 324-5410
Mailing address
525 GRAND AVE, SPRING VALLEY, CA 91977-5933
(619) 327-5400
(619) 324-5410
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
07/03/2018
Last updated
03/23/2020
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