Alta Drive LLC
NPI #1043802143 in Simi Valley, California
Provider Information
- NPI Number
- 1043802143
- Entity Type
- Organization
- Organization Name
- Alta Drive LLC
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Feb 9, 2021
- Last Updated
- Feb 9, 2021
Practice Location
- Address
- 4015 PEORIA AVE
- City
- Simi Valley
- State
- California
- ZIP Code
- 93063-1657
- Phone
- (805) 584-2592
Authorized Official
- Name
- KYLE PEREZ
- Title
- EXECUTIVE DIRECTOR
- Phone
- (310) 876-4681
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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