NPI: 1710371950
Provider Name: OCTLC, INC.
Doing Business As: SUSTAIN RECOVERY
Classification: Substance Abuse Rehabilitation Facility - 3245S0500X
Entity Type: Organization
Specialization: Substance Abuse Treatment, Children
CLIA Number: 05D2123416
Address:
125 S CHAPARRAL CT STE 200
ANAHEIM, CA
ZIP 92808
Phone: (818) 636-2938
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OCTLC, INC. is a substance abuse treatment and children substance abuse rehabilitation facility in Anaheim, CA. The provider is a facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. OCTLC, INC. NPI is 1710371950. The provider is registered as an organization entity type.
The provider Is Doing Business As Sustain Recovery.
The provider's business location address is:
125 S CHAPARRAL CT STE 200
ANAHEIM, CA
ZIP 92808-263
Phone: (818) 636-2938
Fax: (833) 930-2303
The provider's authorized official is Sayeh Seyedfathi .
The authorized official title is Ceo and has the following contact phone number (818) 636-2938.
The CLIA number assigned to this NPI record is 05D2123416 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 3/25/2015 and was last updated on 3/23/2024.