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
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6960
CA
Other
Enumeration date
03/12/2007
Last updated
08/22/2020
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