Organization
CAL BURKE
Active
Parent organization
VAN NUYS TREATMENT CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
VAN NUYS TREATMENT CENTER
Authorized official
ELIZABETH MACIAS (PROGRAM DIRECTOR)
(818) 787-4151
Entity
Organization
Contact information
Practice address
14630 LANARK ST, PANORAMA CITY, CA 91402-4917
(818) 787-4151
Mailing address
15015 OXNARD ST, VAN NUYS, CA 91411-2613
(818) 787-4151
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/10/2012
Last updated
06/07/2012
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