SUMMIT INTENSIVE OUTPATIENT PROGRAM NPI 1851240378

NPI Information

  • NPI: 1851240378
  • Provider Name: SUMMIT INTENSIVE OUTPATIENT PROGRAM
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 21105 VANOWEN ST
    110
    CANOGA PARK, CA
    ZIP 91303
  • Phone: (888) 885-6648

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NPI Details

SUMMIT INTENSIVE OUTPATIENT PROGRAM is a mental health counselor in Canoga Park, CA. SUMMIT INTENSIVE OUTPATIENT PROGRAM NPI is 1851240378. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

21105 VANOWEN ST
110
CANOGA PARK, CA
ZIP 91303
Phone: (888) 885-6648

The provider's authorized official is Vyacheslav Davtian .
The authorized official title is Ceo and has the following contact phone number (888) 885-6648.

The enumeration date for this NPI number is 1/27/2026 and was last updated on 1/27/2026.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YM0800XCounselorMental HealthYes

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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