Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Desire 4 Change Living Iop

Organization Addiction (Substance Use Disorder) Counselor · NPI 1548708365

Desire 4 Change Living Iop is an Addiction (Substance Use Disorder) Counselor in Granada Hills, California. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
2

Practice location Address checks out

17019 San Jose St
Granada Hills, CA 91344-6238
Phone: (310) 345-9618
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1548708365
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberlee Saffore — Executive Program Director · (310) 345-9618
NPI enumeratedFebruary 1, 2017
Last updated in NPPESApril 6, 2017
Mailing address17019 San Jose St, Granada Hills, CA 91344-6238

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