| |
15015 Oxnard St Van Nuys CA 91411-2613 | |
(818) 787-4151 | |
(818) 787-2840 |
Full Name | |
---|---|
Speciality | Community/behavioral Health |
Location | 15015 Oxnard St, Van Nuys, California |
Authorized Official Name and Position | Elizabeth Macias (EXEC P.D.) |
Authorized Official Contact | 8187874151 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
15015 Oxnard St Van Nuys CA 91411-2613 Ph: (818) 787-4151 | 15015 Oxnard St Van Nuys CA 91411-2613 Ph: (818) 787-4151 |
NPI Number | 1790019123 |
---|---|
Provider Enumeration Date | 10/02/2009 |
Last Update Date | 10/02/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790019123 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 10327AP (California) | Primary |
Magnolia Clinical Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5656 Cantaloupe Ave, Van Nuys, CA 91401 Phone: 818-489-0846 | |
Behavior Motivation, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7602 N Patriot Way, Van Nuys, CA 91405 Phone: 818-987-1808 | |
Substance Abuse Specialist Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14515 Hamlin St, Van Nuys, CA 91411 Phone: 323-387-2405 Fax: 323-727-0284 |