| Van Nuys Tx Ctr | |
|
5200 Irwindale Ave Irwindale CA 91706-2097 | |
| (818) 787-4151 | |
| (818) 787-2840 |
| Full Name | Van Nuys Tx Ctr |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5200 Irwindale Ave, Irwindale, California |
| Authorized Official Name and Position | Elizabeth J Macias (EXEC. PROGRAM DIRECTOR) |
| Authorized Official Contact | 8187874151 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Van Nuys Tx Ctr 15015 Oxnard St Van Nuys CA 91411-2613 Ph: (818) 787-4151 | Van Nuys Tx Ctr 5200 Irwindale Ave Irwindale CA 91706-2097 Ph: (818) 787-4151 |
| NPI Number | 1609006683 |
|---|---|
| Provider Enumeration Date | 07/23/2009 |
| Last Update Date | 07/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609006683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | ADP197099 (California) | Primary |
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