Organization
WEST COAST DRUG & ALCO EDU PROG
Active
Organization
WEST COAST DRUG & ALCO EDU PROG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARLA ALONZO AOD (COUNSELOR)
(818) 908-1740
Entity
Organization
Contact information
Practice address
6850 VAN NUYS BLVD, 125, VAN NUYS, CA 91405-4640
(818) 908-1740
(818) 908-3336
Mailing address
6850 VAN NUYS BLVD, 125, VAN NUYS, CA 91405-4640
(818) 908-1740
(818) 908-3336
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
12/05/2008
Last updated
12/05/2008
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