| Intensive Outpatient Eating Disorder Programs, Inc, | |
|
6325 Topanga Canyon Blvd Ste. 305 Woodland Hills CA 91367-2006 | |
| (818) 713-1312 | |
| (818) 713-1311 |
| Full Name | Intensive Outpatient Eating Disorder Programs, Inc, |
|---|---|
| Speciality | Counselor - Professional |
| Location | 6325 Topanga Canyon Blvd, Woodland Hills, California |
| Authorized Official Name and Position | Darlene Joy Manickma (EXECUTIVE CLINICAL DIRECTOR) |
| Authorized Official Contact | 8187026322 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intensive Outpatient Eating Disorder Programs, Inc, 6325 Topanga Canyon Blvd Suite 305 Woodland Hills CA 91367-2006 Ph: (818) 713-1312 | Intensive Outpatient Eating Disorder Programs, Inc, 6325 Topanga Canyon Blvd Ste. 305 Woodland Hills CA 91367-2006 Ph: (818) 713-1312 |
| NPI Number | 1487795035 |
|---|---|
| Provider Enumeration Date | 02/08/2007 |
| Last Update Date | 09/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487795035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 32565 (California) | Primary |
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