WEST COAST DRUG & ALCOHOL PROGRAM NPI 1720411564

NPI Information

WEST COAST DRUG & ALCOHOL PROGRAM is a substance abuse rehabilitation facility in Van Nuys, 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. WEST COAST DRUG & ALCOHOL PROGRAM NPI is 1720411564. The provider is registered as an organization entity type.

The provider's business location address is:

6850 VAN NUYS BLVD
SUITE 125
VAN NUYS, CA
ZIP 91405-640
Phone: (818) 908-1740
Fax: (818) 908-3336

The provider's authorized official is Amalia Mastrodomenico .
The authorized official title is Counselor and has the following contact phone number (818) 908-1740.

The enumeration date for this NPI number is 8/15/2013 and was last updated on 8/15/2013.

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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