| National Council On Alcoholism & Drug Dependence Of The San Fernando V | |
|
6166 Vesper Ave Van Nuys CA 91411-2851 | |
| (818) 997-1414 | |
| (818) 997-0851 |
| Full Name | National Council On Alcoholism & Drug Dependence Of The San Fernando V |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6166 Vesper Ave, Van Nuys, California |
| Authorized Official Name and Position | Robert T Dorris (PRESIDENT OF THE BOARD OF DIRECTORS) |
| Authorized Official Contact | 8182164183 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| National Council On Alcoholism & Drug Dependence Of The San Fernando V 6166 Vesper Ave Van Nuys CA 91411-2851 Ph: (818) 997-1414 | National Council On Alcoholism & Drug Dependence Of The San Fernando V 6166 Vesper Ave Van Nuys CA 91411-2851 Ph: (818) 997-1414 |
| NPI Number | 1477809291 |
|---|---|
| Provider Enumeration Date | 07/30/2012 |
| Last Update Date | 07/30/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477809291 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 190049AN (California) | Primary |
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