Organization
NORTHRIDGE ADDICTION TREATMENT CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY MEISE (CEO)
(609) 342-9430
Entity
Organization
Contact information
Practice address
6215 WHITE OAK AVE, ENCINO, CA 91316-7236
(609) 342-8430
Mailing address
9450 TAMPA AVE, NORTHRIDGE, CA 91324-2746
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
09/28/2020
Last updated
01/30/2024
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