INDEPENDENCE COMMUNITY TREATMENT CLINIC is a community health clinic center in Pacoima, CA. INDEPENDENCE COMMUNITY TREATMENT CLINIC NPI is 1235352451. The provider is registered as an organization entity type.
The provider's business location address is:
12450 VAN NUYS BLVD
PACOIMA, CA
ZIP 91331-391
Phone: (818) 776-1755
The provider's authorized official is Alex Branzburg .
The authorized official title is Program Director and has the following contact phone number (818) 776-1755.
The enumeration date for this NPI number is 4/10/2007 and was last updated on 4/3/2008.