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NPI Code Detail

MEDICARE: RESEDA SUBSTANCE ABUSE TREATMENT CENTER

MEDICARE: RESEDA SUBSTANCE ABUSE TREATMENT CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor190324APCA

General Provider Information

NPI Number : 1134127525
Entity Type Code : Organization
Provider Name (Legal Business Name) : RESEDA SUBSTANCE ABUSE TREATMENT CENTER
Provider Business Mailing Address
First Line : 8745 PARTHENIA PL
Second Line : SUITE 4
City : NORTH HILLS
State : CA
Zip : 91343-5166
Country : US
Telephone Number : 818-895-5002
Fax Number : 818-895-5502
Provider Business Practice Location Address
First Line : 8745 PARTHENIA PL
Second Line : SUITE 4
City : NORTH HILLS
State : CA
Zip : 91343-5166
Country : US
Telephone Number : 818-895-5002
Fax Number : 818-895-5502
Authorized Official
Title or Position : PRESIDENT/CEO
Name : MR. ZACKARY BATSALKIN
Credential :
Telephone Number : 818-895-5002
Provider Enumeration Date : 07/11/2005
Last Update Date : 08/22/2020

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Practice Location Address:
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91343-5166
Practice Phone: 818-895-5002
Practice Fax: 818-895-5502

Directions to “RESEDA SUBSTANCE ABUSE TREATMENT CENTER ” Practice Location

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