Organization
ENGAGE TREATMENT PROGRAM, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADELINA MEHRAZARIN BRISBOIS LMFT (OWNER)
(949) 510-5852
Entity
Organization
Contact information
Practice address
2625 TOWNSGATE RD STE 210, WESTLAKE VILLAGE, CA 91361-5754
(805) 497-0605
Mailing address
4607 LAKEVIEW CANYON RD, PMB 407, WESTLAKE VILLAGE, CA 91361
(805) 497-0605
(805) 371-4862
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/15/2020
Last updated
06/01/2024
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