INDEPENDENCE COMMUNITY TREATMENT CLINIC

PACOIMA, CA
NPI1235352451
Entity TypeOrganization
Authorized ContactALEX BRANZBURG
Program Director
818-776-1755
Organization Subpart ?No
Primary Taxonomy261QC1500X Clinic/Center, Community Health
(Licence: CA  960001358)
Enumeration Date2007-04-10
Last Update Date2008-04-03
Business Address
INDEPENDENCE COMMUNITY TREATMENT CLINIC
12450 VAN NUYS BLVD
PACOIMA, CA 91331-1391
Phone number: 818-776-1755
Mailing Address
INDEPENDENCE COMMUNITY TREATMENT CLINIC
19231 VICTORY BLVD SUITE 554
RESEDA, CA 91335-6308
Phone number:
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