Organization
WISDOM TREATMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON BARSALOU (PROGRAM DIRECTOR)
(818) 489-4592
Entity
Organization
Contact information
Practice address
7361 TOPANGA CANYON BLVD, CANOGA PARK, CA 91303-3387
(818) 489-4592
Mailing address
7361 TOPANGA CANYON BLVD, CANOGA PARK, CA 91303-3387
(818) 489-4592
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
190887AP
CALIFORNIA CERTIFICATION
CA
Enumeration date
10/28/2015
Last updated
10/26/2020
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