institution
Independence Community Treatment Clinic
Community Health Clinic/Center in Lancaster, California
NPI 1881839033

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 1881839033 and holds a License No. 960001358 (California).

The current practice location address for Independence Community Treatment Clinic is 45030 3Rd St E, Lancaster, CA and can be reached out via phone at 818-776-1755 and via fax at 818-776-1657. You can also correspond with Independence Community Treatment Clinic through the mailing address at 19231 VICTORY BLVD, RESEDA, CA - 91335-6308 (mailing address contact number: 818-776-1755).

Location: 45030 3Rd St E, Lancaster, CA, 91335-6308
institution
Provider Profile Details
NPI Number
1881839033
Provider Name
Independence Community Treatment Clinic
Credential
Provider Entity Type
Organization
Address
45030 3Rd St E, Lancaster, CA, 91335-6308
Phone Number
818-776-1755
Fax Number
818-776-1657
Provider Enumeration Date
12/02/2008
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
45030 3Rd St E
City
State
Zip
93535-2503
Phone Number
818-776-1755
Fax Number
818-776-1657
person
Provider Business Mailing Address Details
Address
45030 3Rd St E
City
State
Zip
93535-2503
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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