institution
Independence Community Treatment Clinic
Community Health Clinic/Center in Palmdale, California
NPI 1205081593

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 Palmdale, CA. The NPI Number for Independence Community Treatment Clinic is 1205081593 and holds a License No. 960001358 (California).

The current practice location address for Independence Community Treatment Clinic is 39055 25Th St W, Palmdale, CA and can be reached out via phone at 818-776-1755 and via fax at 818-776-1657.

Location: 39055 25Th St W, Palmdale, CA, 91335-6308
institution
Provider Profile Details
NPI Number
1205081593
Provider Name
Independence Community Treatment Clinic
Credential
Provider Entity Type
Organization
Address
39055 25Th St W, Palmdale, CA, 91335-6308
Phone Number
818-776-1755
Fax Number
818-776-1657
Provider Enumeration Date
12/01/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CMM70956F 05 CA
196856000 05 CA
institution
Provider Business Practice Location Address Details
Address
39055 25Th St W
City
State
Zip
93551-4164
Phone Number
818-776-1755
Fax Number
818-776-1657
person
Provider Business Mailing Address Details
Address
39055 25Th St W
City
State
Zip
93551-4164
Phone Number
818-776-1755
Fax Number
818-776-1657
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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