PHASE TWO ATC LLC NPI 1043831548

NPI Information

  • NPI: 1043831548
  • Provider Name: PHASE TWO ATC LLC
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • Address: 15720 VENTURA BLVD STE PH
    ENCINO, CA
    ZIP 91436
  • Phone: (855) 740-1181

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NPI Details

PHASE TWO ATC LLC is a rehabilitation and substance use disorder clinic center in Encino, CA. PHASE TWO ATC LLC NPI is 1043831548. The provider is registered as an organization entity type.

The provider's business location address is:

15720 VENTURA BLVD STE PH
ENCINO, CA
ZIP 91436-914
Phone: (855) 740-1181

The provider's authorized official is Brandan Freeman .
The authorized official title is Ceo and has the following contact phone number (855) 740-1181.

The enumeration date for this NPI number is 5/6/2020 and was last updated on 10/26/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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