Independence Community Treatment Clinic
Independence Community Treatment Clinic is a Community Health Clinic/Center in Reseda, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
Practice location Address checks out
19231 Victory Blvd Ste 554Reseda, CA 91335-6308
Phone: (818) 776-1755
Fax: (818) 776-1657
Show map & directions
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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 | 1376677823 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Rebecca Greenough — Asst. Program Director · (818) 776-1755 |
| NPI enumerated | March 15, 2007 |
| Last updated in NPPES | January 6, 2010 |
| Mailing address | 19231 Victory Blvd, Suite 554, Reseda, CA 91335-6308 |
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