ANTHONY RAY ACOSTA

SYLMAR, CA
NPI1417145442
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-10-03
Last Update Date2007-10-03
Business Address
-- ANTHONY RAY ACOSTA
13741 FOOTHILL BLVD STE 240
SYLMAR, CA 91342-3152
Phone number: 818-833-9789
Mailing Address
-- ANTHONY RAY ACOSTA
13741 FOOTHILL BLVD STE 240
SYLMAR, CA 91342-3152
Phone number: