Organization
COMMUNITY ALCOHOL & DRUG FOUNCATION
Active
Organization
COMMUNITY ALCOHOL & DRUG FOUNCATION
Active
Parent organization
CROSSROADS NPI
Other names
Van Nuys Treatment Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
CROSSROADS NPI
Authorized official
MS. ELIZABETH JADE MACIAS B.A. LIBERAL STUDIES (PROGRAM DIRECTOR)
(818) 787-4151
Entity
Organization
Contact information
Practice address
6843 LENNOX AVE, VAN NUYS, CA 91405-4043
(818) 787-4151
(818) 787-2840
Mailing address
15015 OXNARD ST, VAN NUYS, CA 91411-2613
(818) 787-4151
(818) 787-2840
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
190327AP
CA
Other
Enumeration date
04/10/2009
Last updated
04/10/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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