| California Drug Treatment Program, Inc | |
|
9001 S Vermont Ave Los Angeles CA 90044-4835 | |
| (323) 756-9933 | |
| (323) 756-9515 |
| Full Name | California Drug Treatment Program, Inc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 9001 S Vermont Ave, Los Angeles, California |
| Authorized Official Name and Position | Carol Ann Schwartze (PROGRAM DIRECTOR) |
| Authorized Official Contact | 3237569933 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| California Drug Treatment Program, Inc 9001 S Vermont Ave Los Angeles CA 90044-4835 Ph: (323) 756-9933 | California Drug Treatment Program, Inc 9001 S Vermont Ave Los Angeles CA 90044-4835 Ph: (323) 756-9933 |
| NPI Number | 1144582735 |
|---|---|
| Provider Enumeration Date | 06/11/2012 |
| Last Update Date | 06/11/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144582735 | NPI | - | NPPES |
| 12206 | Other | CA | COUNSELOR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 12206 (California) | Primary |
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