Organization
VIP DRUG AND ALCOHOL EDUCATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIGRAN SARGSYAN (SECRETARY)
(818) 734-2761
Entity
Organization
Contact information
Practice address
18417 NORDHOFF ST, NORTHRIDGE, CA 91325-2200
(818) 734-2761
Mailing address
18417 NORDHOFF ST, NORTHRIDGE, CA 91325-2200
(818) 734-2761
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
190635AN
CA
Other
Enumeration date
12/21/2011
Last updated
10/28/2015
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