Polaris Teen Center, Llc

NPI 1295144921 - Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X

NPI Details
NPI 1295144921
Enumeration Date 08/06/2014
Last Updated 08/06/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name ARI ARI
Position CEO
Phone (818) 616-8650
Fax
Practice Location
4670 ENCINO AVE
ENCINO CA, 91316-3844, US
Phone (818) 616-8650
Fax
Business Location
4670 ENCINO AVE
ENCINO CA, 91316-3844, US
Phone (818) 616-8650
Fax
Toxanomy
Taxonomy Code 322D00000X
License State California
License Number 198208336
Remove 1295144921 NPI Number
 

According to our database, Polaris Teen Center, Llc NPI is 1295144921, taxonomy code is 322D00000X and license number is 198208336, license state is located at California. Polaris Teen Center, Llc physically located at 4670 Encino Ave, Encino CA, 91316-3844. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1295144921 NPI number is provided on an as is basis without warranty of any kind. 1295144921 is maintained by the National Plan & Provider Enumeration System. The contents of Polaris Teen Center, Llc are for informational purposes only.