| NPI | 1700029444 |
|---|---|
| Doing Business As | VAN NUYS TREATMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH JADE MACIAS Program Director 818-787-4151 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X (Licence: CA 190327AP) |
| Enumeration Date | 2009-04-10 |
| Last Update Date | 2009-04-10 |