Independence Community Treatment Clinic

Organization Community Health Clinic/Center · NPI 1134366115

Independence Community Treatment Clinic is a Community Health Clinic/Center in Littlerock, California. Licensed in California. Registered with an NPI since 2009.

Licensed in: CA
In the registry since: 2009

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Practice location Address checks out

10833 E Avenue R Rm 118 119 217
Littlerock, CA 93543-4106
Phone: (818) 776-1755

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

Specialties & licences

Community Health Clinic/Center (primary)	Taxonomy 261QC1500X · Licence 960001358 (CA)

Record details

NPI number	1134366115
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Alex Branzburg — Program Director · (818) 776-1755
NPI enumerated	January 14, 2009
Last updated in NPPES	December 18, 2009
Mailing address	19231 Victory Blvd, Suite 554, Reseda, CA 91335-6308