institution
11821 Foothill Blvd
Addiction (Substance Use Disorder) Counselor in Los Angeles, California
NPI 1164767356

11821 Foothill Blvd is an Addiction (Substance Use Disorder) Counselor based in Lake View Terrace, CA and is specialized in Addiction (Substance Use Disorder). 11821 Foothill Blvd practices in Los Angeles, CA. The NPI Number for 11821 Foothill Blvd is 1164767356 and holds a License No. (California).

The current practice location address for 11821 Foothill Blvd is 5436 S. Broadway, Los Angeles, CA and can be reached out via phone at 818-694-7206.

Location: 5436 S. Broadway, Los Angeles, CA, 91342-7200
institution
Provider Profile Details
NPI Number
1164767356
Provider Name
11821 Foothill Blvd
Credential
Provider Entity Type
Organization
Address
5436 S. Broadway, Los Angeles, CA, 91342-7200
Phone Number
818-694-7206
Fax Number
Provider Enumeration Date
11/29/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5436 S. Broadway
City
State
Zip
90037
Phone Number
818-694-7206
Fax Number
person
Provider Business Mailing Address Details
Address
5436 S. Broadway
City
State
Zip
90037
Phone Number
818-694-7206
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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