| Vip Outpatient Treatment Center | |
|
17000 Haynes St D-13 Lake Balboa CA 91406-5420 | |
| (818) 734-2761 | |
| (818) 734-2762 |
| Full Name | Vip Outpatient Treatment Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 17000 Haynes St, Lake Balboa, California |
| Authorized Official Name and Position | Armine Torosyan (SECRETARY) |
| Authorized Official Contact | 8187342761 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vip Outpatient Treatment Center 18417 Nordhoff St Ste D Northridge CA 91325-2276 Ph: (818) 734-2761 | Vip Outpatient Treatment Center 17000 Haynes St D-13 Lake Balboa CA 91406-5420 Ph: (818) 734-2761 |
| NPI Number | 1679811079 |
|---|---|
| Provider Enumeration Date | 01/21/2013 |
| Last Update Date | 04/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679811079 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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