institution
Independence Community Treatment Clinic
Community Health Clinic/Center in Lancaster, California
NPI 1770711848

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 Lancaster, CA. The NPI Number for Independence Community Treatment Clinic is 1770711848 and holds a License No. 960001358 (California).

The current practice location address for Independence Community Treatment Clinic is 43520 Division St, Lancaster, CA and can be reached out via phone at 818-776-1755.

Location: 43520 Division St, Lancaster, CA, 91335-6308
institution
Provider Profile Details
NPI Number
1770711848
Provider Name
Independence Community Treatment Clinic
Credential
Provider Entity Type
Organization
Address
43520 Division St, Lancaster, CA, 91335-6308
Phone Number
818-776-1755
Fax Number
Provider Enumeration Date
06/29/2009
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
43520 Division St
City
State
Zip
93535-4089
Phone Number
818-776-1755
Fax Number
person
Provider Business Mailing Address Details
Address
43520 Division St
City
State
Zip
93535-4089
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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