Independence Community Treatment Clinic

NPI #1134366115 in Littlerock, California

Provider Information

NPI Number
1134366115
Entity Type
Organization
Organization Name
Independence Community Treatment Clinic
Primary Specialty
Clinic/Center - Community Health
Enumeration Date
Jan 14, 2009
Last Updated
Dec 18, 2009

Practice Location

Address
10833 E AVENUE R
Address 2
ROOM 118, 119, 217
ZIP Code
93543-4106
Phone
(818) 776-1755

Authorized Official

Name
ALEX BRANZBURG
Title
PROGRAM DIRECTOR
Phone
(818) 776-1755

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Community HealthCommunity Health

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