INDEPENDENCE COMMUNITY TREATMENT CLINIC

PALMDALE, CA
NPI1689811663
Entity TypeOrganization
Authorized ContactALEX BRANZBURG
Program Director
818-776-1755
Organization Subpart ?No
Primary Taxonomy261QC1500X Clinic/Center, Community Health
(Licence: CA  960001358)
Enumeration Date2009-01-14
Last Update Date2009-12-15
Business Address
INDEPENDENCE COMMUNITY TREATMENT CLINIC
2127 E AVENUE R ROOM 804,805,807,809,
PALMDALE, CA 93550-5415
Phone number: 818-776-1755
Mailing Address
INDEPENDENCE COMMUNITY TREATMENT CLINIC
19231 VICTORY BLVD SUITE 554
RESEDA, CA 91335-6308
Phone number: