Organization
ABLE FAMILY SUPPORT
Active
Organization
ABLE FAMILY SUPPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER FERDMAN (EXECUTIVE DIRECTOR)
(818) 830-9500
Entity
Organization
Contact information
Practice address
14418 CHASE ST STE 200, PANORAMA CITY, CA 91402-3022
(818) 830-9500
Mailing address
14418 CHASE ST STE 200, PANORAMA CITY, CA 91402-3022
(818) 830-9500
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6960
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6960
PROVIDER NUMBER
CA
Enumeration date
04/19/2007
Last updated
08/22/2020
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