Organization
VIDA FAMILY SERVICES
Active
Other names
The Valley Prevention & Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
NARA UPTON (BILLING)
(626) 872-7344
Entity
Organization
Contact information
Practice address
4419 VAN NUYS BLVD, 307, SHERMAN OAKS, CA 91403-2910
(818) 986-1161
Mailing address
4419 VAN NUYS BLVD, 307, SHERMAN OAKS, CA 91403-2910
(818) 986-1161
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
190915AP
CA
Other
Enumeration date
12/23/2016
Last updated
12/23/2016
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