ALTA CENTERS INC. NPI 1487020343

NPI Information

ALTA CENTERS, INC. is a substance abuse rehabilitation facility in Encino, CA. The provider is 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. ALTA CENTERS, INC. NPI is 1487020343. The provider is registered as an organization entity type.

The provider's business location address is:

5435 BALBOA BLVD
SUITE 103
ENCINO, CA
ZIP 91316-508
Phone: (818) 616-7443
Fax: (818) 301-2046

The provider's authorized official is Anna Van Kovn .
The authorized official title is Ceo and has the following contact phone number (818) 616-7443.

The CLIA number assigned to this NPI record is 05D2292075 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/14/2015 and was last updated on 6/11/2019.

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:

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