California Drug Treatment Program, Inc

NPI 1144582735 - Counselor - 101YA0400X

NPI Details
NPI 1144582735
Enumeration Date 06/11/2012
Last Updated 06/11/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name CAROL ANN CAROL
Position PROGRAM DIRECTOR
Phone (323) 756-9933
Fax (323) 756-9515
Practice Location
9001 S VERMONT AVE
LOS ANGELES CA, 90044-4835, US
Phone (323) 756-9933
Fax (323) 756-9515
Business Location
9001 S VERMONT AVE
LOS ANGELES CA, 90044-4835, US
Phone (323) 756-9933
Fax (323) 756-9515
Toxanomy
Taxonomy Code 101YA0400X
License State California
License Number 12206
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According to our database, California Drug Treatment Program, Inc NPI is 1144582735, taxonomy code is 101YA0400X and license number is 12206, license state is located at California. California Drug Treatment Program, Inc physically located at 9001 S Vermont Ave, Los Angeles CA, 90044-4835. NPI Number 1033115704 has the healthcare provider type.

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1144582735 NPI number is provided on an as is basis without warranty of any kind. 1144582735 is maintained by the National Plan & Provider Enumeration System. The contents of California Drug Treatment Program, Inc are for informational purposes only.