Training Center Ephesians 4:11-16
NPI #1639665516 in Spring Valley, California
Provider Information
- NPI Number
- 1639665516
- Entity Type
- Organization
- Organization Name
- Training Center Ephesians 4:11-16
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Jul 3, 2018
- Last Updated
- Mar 23, 2020
Practice Location
- Address
- 525 GRAND AVE
- City
- Spring Valley
- State
- California
- ZIP Code
- 91977-5933
- Phone
- (619) 327-5400
Authorized Official
- Name
- MICHAEL ALAN LAZARUS, CATC-II
- Title
- CENTER MANAGER
- Phone
- (619) 327-5400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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