Independence Community Treatment Clinic
NPI #1417192550 in Quartz Hill, California
Provider Information
- NPI Number
- 1417192550
- Entity Type
- Organization
- Organization Name
- Independence Community Treatment Clinic
- Primary Specialty
- Clinic/Center - Community Health
- Enumeration Date
- Dec 3, 2008
- Last Updated
- Dec 11, 2009
Practice Location
- Address
- 6040 W AVENUE L
- Address 2
- ROOM423,V3, AGI
- City
- Quartz Hill
- State
- California
- ZIP Code
- 93536-4501
- 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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