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Pom Pom Castle
Substance Use Disorder Rehabilitation Clinic/Center in Van Nuys, California
NPI 1760753990

Pom Pom Castle is a Substance Use Disorder Rehabilitation Clinic/Center based in Van Nuys, CA and is specialized in Rehabilitation, Substance Use Disorder. Pom Pom Castle practices in Van Nuys, CA. The NPI Number for Pom Pom Castle is 1760753990 and holds a License No. (California).

The current practice location address for Pom Pom Castle is 14540 Hamlin St, Van Nuys, CA and can be reached out via phone at 818-994-6876 and via fax at 818-997-6878.

Location: 14540 Hamlin St, Van Nuys, CA, 91411-1626
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1760753990
Provider Name
Pom Pom Castle
Credential
Provider Entity Type
Organization
Address
14540 Hamlin St, Van Nuys, CA, 91411-1626
Phone Number
818-994-6876
Fax Number
818-997-6878
Provider Enumeration Date
01/19/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
14540 Hamlin St
City
Van Nuys
State
California
Zip
91411-1626
Phone Number
818-994-6876
Fax Number
818-997-6878
person
Provider Business Mailing Address Details
Address
14540 Hamlin St
City
Van Nuys
State
California
Zip
91411-1626
Phone Number
818-994-6876
Fax Number
818-997-6878
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
()
Definition
Definition to come...
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