Organization
OCTLC, INC.
Active
Other names
Sustain Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SAYEH SEYEDFATHI (CEO)
(818) 636-2938
Entity
Organization
Contact information
Practice address
125 S CHAPARRAL CT STE 200, ANAHEIM, CA 92808-2263
(818) 636-2938
(833) 930-2303
Mailing address
3943 IRVINE BLVD # 5, IRVINE, CA 92602-2400
(818) 636-2938
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
306004787
CA
Other
Enumeration date
03/25/2015
Last updated
06/24/2024
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