Organization
TOPANGA ROSCOE CORPORATION
Active
Other names
Topanga West Guest Home
Organization subpart
No
Provider details
NPI number
Authorized official
CARY BUCHMAN (PRESIDENT)
(818) 884-8100
Entity
Organization
Contact information
Practice address
22115 ROSCOE BLVD, CANOGA PARK, CA 91304-3839
(818) 884-8100
(818) 884-7808
Mailing address
22115 ROSCOE BLVD, CANOGA PARK, CA 91304-3839
(818) 884-8100
(818) 884-7808
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
191202140
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7283
—
CA
Enumeration date
04/13/2007
Last updated
09/05/2023
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