Independence Community Treatment Clinic
NPI #1326261546 in North Hills, California
Provider Information
- NPI Number
- 1326261546
- 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
- 15315 RAYEN ST
- City
- North Hills
- State
- California
- ZIP Code
- 91343-5117
- 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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