Independence Community Treatment Clinic
NPI #1235352451 in Pacoima, California
Provider Information
- NPI Number
- 1235352451
- Entity Type
- Organization
- Organization Name
- Independence Community Treatment Clinic
- Primary Specialty
- Clinic/Center - Community Health
- Enumeration Date
- Apr 10, 2007
- Last Updated
- Apr 3, 2008
Practice Location
- Address
- 12450 VAN NUYS BLVD
- City
- Pacoima
- State
- California
- ZIP Code
- 91331-1391
- Phone
- (818) 776-1755
Authorized Official
- Name
- ALEX BRANZBURG
- Title
- PROGRAM DIRECTOR
- Phone
- (818) 776-1755
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Community Health — Community Health |
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