Organization
FOCUS ON TODAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PHYLLIS MARILYN WODIN (PRESIDENT)
(805) 341-2482
Entity
Organization
Contact information
Practice address
135 N VICTORY BLVD, SUITE A, BURBANK, CA 91502-1837
(805) 341-2482
(805) 364-5925
Mailing address
135 N VICTORY BLVD, SUITE A, BURBANK, CA 91502-1837
(805) 341-2482
(805) 364-5925
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
CA
Other
Enumeration date
03/20/2017
Last updated
03/20/2017
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