institution
Independence Community Treatment Clinic
Community Health Clinic/Center in Littlerock, California
NPI 1134366115

Independence Community Treatment Clinic is a Community Health Clinic/Center based in Reseda, CA and is specialized in Community Health. Independence Community Treatment Clinic practices in Littlerock, CA. The NPI Number for Independence Community Treatment Clinic is 1134366115 and holds a License No. 960001358 (California).

The current practice location address for Independence Community Treatment Clinic is 10833 E Avenue R, Littlerock, CA and can be reached out via phone at 818-776-1755.

Location: 10833 E Avenue R, Littlerock, CA, 91335-6308
institution
Provider Profile Details
NPI Number
1134366115
Provider Name
Independence Community Treatment Clinic
Credential
Provider Entity Type
Organization
Address
10833 E Avenue R, Littlerock, CA, 91335-6308
Phone Number
818-776-1755
Fax Number
Provider Enumeration Date
01/14/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
196856000 05 CA
CMM70956F 05 CA
institution
Provider Business Practice Location Address Details
Address
10833 E Avenue R
City
State
Zip
93543-4106
Phone Number
818-776-1755
Fax Number
person
Provider Business Mailing Address Details
Address
10833 E Avenue R
City
State
Zip
93543-4106
Phone Number
818-776-1755
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Community Health
Taxonomy
License No.
960001358 (California)
Definition
Definition to come...
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