05D2057509 CLIA NUMBER - Prominence Treatment Center

Laboratory Demographics

CLIA Number: 05D2057509

Facility Name: Prominence Treatment Center

Facility Address:
2150 Cold Canyon Rd.
Calabasas, CA
ZIP 91302
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Facility Phone Number: (818) 591-6869

Facility Type: OTHER

Certificate Type: Waiver

NPI Number: 1215234455

Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

CLIA Record

Field Name Field Value
CLIA Number 05D2057509
Facility Name Prominence Treatment Center
Street 2150 Cold Canyon Rd.
City Calabasas
State CA
ZIP 91302
Phone (818) 591-6869

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This page was last updated on: 12/19/2019