INDEPENDENCE COMMUNITY TREATMENT CLINIC

LANCASTER, CA
NPI1508039728
Entity TypeOrganization
Authorized ContactALEX BRANZBURG
Program Director
818-776-1755
Organization Subpart ?No
Primary Taxonomy261QC1500X Clinic/Center, Community Health
(Licence: CA  960001358)
Enumeration Date2008-04-09
Last Update Date2010-07-01
Business Address
INDEPENDENCE COMMUNITY TREATMENT CLINIC
209 W AVENUE J ROOMS E,G, H, FRONT OFFICE
LANCASTER, CA 93534-3656
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