GILBERT THEODORE DIAZ

NORTH HOLLYWOOD, CA
NPI1396260055
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2017-08-03
Last Update Date2022-07-21
Business Address
Mr. GILBERT THEODORE DIAZ
11027 BURBANK BLVD
NORTH HOLLYWOOD, CA 91601-2431
Phone number: 818-985-8323
Mailing Address
Mr. GILBERT THEODORE DIAZ
11027 BURBANK BLVD
NORTH HOLLYWOOD, CA 91601-2431
Phone number: 818-985-8323