Healthcare Provider Details

I. General information

NPI: 1871304212
Provider Name (Legal Business Name): AFTER CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/15/2025
Last Update Date: 01/15/2025
Certification Date: 01/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14431 HAMLIN ST
VAN NUYS CA
91401-1410
US

IV. Provider business mailing address

14431 HAMLIN ST
VAN NUYS CA
91401-1410
US

V. Phone/Fax

Practice location:
  • Phone: 707-500-3030
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: MS. INGA ABGARYAN
Title or Position: EMPLOYEE
Credential:
Phone: 707-500-3030