Organization
NATIONAL COUNCIL ON ALCOHOLISM & DRUG DEPENDENCE OF THE SAN FERNANDO V
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT T DORRIS JR. (PRESIDENT OF THE BOARD OF DIRECTORS)
(818) 216-4183
Entity
Organization
Contact information
Practice address
24460 LYONS AVE, SANTA CLARITA, CA 91321-2347
(661) 253-9400
(661) 253-9403
Mailing address
24460 LYONS AVE, SANTA CLARITA, CA 91321-2347
(661) 253-9400
(661) 253-9403
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/08/2012
Last updated
11/08/2012
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