Summit Intensive Outpatient Program
NPI #1851240378 in Canoga Park, California
Provider Information
- NPI Number
- 1851240378
- Entity Type
- Organization
- Organization Name
- Summit Intensive Outpatient Program
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Jan 27, 2026
- Last Updated
- Jan 27, 2026
Practice Location
- Address
- 21105 VANOWEN ST
- Address 2
- 110
- City
- Canoga Park
- State
- California
- ZIP Code
- 91303
- Phone
- (888) 885-6648
Authorized Official
- Name
- VYACHESLAV DAVTIAN
- Title
- CEO
- Phone
- (888) 885-6648
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Counselor - Mental Health — Mental Health |
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