Summit Intensive Outpatient Program
Summit Intensive Outpatient Program is an Addiction (Substance Use Disorder) Counselor in Canoga Park, California. Registered with an NPI since 2026.
- In the registry since
- 2026
- Specialties on file
- 2
Practice location Address checks out
21105 Vanowen St 110Canoga Park, CA 91303
Phone: (888) 885-6648
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X |
Record details
| NPI number | 1851240378 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Vyacheslav Davtian — Ceo · (888) 885-6648 |
| NPI enumerated | January 27, 2026 |
| Last updated in NPPES | January 27, 2026 |
| Certification date | January 22, 2026 |
| Mailing address | 21105 Vanowen St, 110, Canoga Park, CA 91303 |
Other providers in Canoga Park
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John W Sullivan, CADCII
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Sarah M Sullivan, CADCII
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Mr. Antonio Torres III
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