Organization
COMPREHENSIVE THERAPY ASSOCIATES, INC
Active
Organization
COMPREHENSIVE THERAPY ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NEKTAR DADURYAN (PRESIDENT)
(310) 935-1574
Entity
Organization
Contact information
Practice address
111 N JACKSON ST STE 202, GLENDALE, CA 91206-4371
(310) 935-1574
(310) 997-0396
Mailing address
5419 HOLLYWOOD BLVD STE C416, LOS ANGELES, CA 90027-3480
(310) 935-1574
(310) 997-0396
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
11410454
CA
251C00000X
Developmentally Disabled Services Day Training Agency
150179858
CA
251C00000X
Developmentally Disabled Services Day Training Agency
OT9304
CA
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
SP1468
CA
Other
Enumeration date
04/16/2016
Last updated
04/16/2016
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