Organization
AMERICAN INSTITUTE OF ADDICTION MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL GRIFFIS CHASE (VICE PRESIDENT)
(818) 495-4300
Entity
Organization
Contact information
Practice address
12400 W MAGNOLIA BLVD, VALLEY VILLAGE, CA 91607
(818) 495-4300
(818) 495-4300
Mailing address
P.O. BOX 3926, VALLEY VILLAGE, CA 91607
(818) 495-4300
(818) 452-3700
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
08/10/2016
Last updated
11/01/2017
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