| Rsa St Anthonys House Strtp | |
|
21044 Plummer St Chatsworth CA 91311-4903 | |
| (818) 882-6400 | |
| (818) 882-6404 |
| Full Name | Rsa St Anthonys House Strtp |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
| Location | 21044 Plummer St, Chatsworth, California |
| Authorized Official Name and Position | Aubree Lynd Sweeney (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8188826400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rsa St Anthonys House Strtp 21000 Plummer St Chatsworth CA 91311-4903 Ph: (818) 882-6400 | Rsa St Anthonys House Strtp 21044 Plummer St Chatsworth CA 91311-4903 Ph: (818) 882-6400 |
| NPI Number | 1952038929 |
|---|---|
| Provider Enumeration Date | 08/01/2022 |
| Last Update Date | 03/07/2023 |
| Certification Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952038929 | NPI | - | NPPES |
| 19KI | Other | CA | MEDI-CAL |
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