INDEPENDENCE COMMUNITY TREATMENT CLINIC

LANCASTER, CA
NPI1396990685
Entity TypeOrganization
Authorized ContactALEX BRANZBURG
Program Director
818-776-1755
Organization Subpart ?No
Primary Taxonomy261QC1500X Clinic/Center, Community Health
(Licence: CA  960001358)
Enumeration Date2008-12-01
Last Update Date2009-12-11
Business Address
INDEPENDENCE COMMUNITY TREATMENT CLINIC
3200 E AVENUE J8 ROOM 101,102,103,104,121,124
LANCASTER, CA 93535-5827
Phone number: 818-776-1755
Mailing Address
INDEPENDENCE COMMUNITY TREATMENT CLINIC
19231 VICTORY BLVD SUITE 554
RESEDA, CA 91335-6308
Phone number: 818-776-1755