Organization · Type 2 NPI

Phase Three Atc LLC

Substance Use Disorder Rehabilitation Clinic/Center · Encino, CA

NPI number 1104583715 Active

Practice location

15720 Ventura Blvd Ste Ph
Encino, CA 91436-2914

Mailing address

PO Box 280
Boynton Beach, FL 33425-0280

Specialties and licenses

TaxonomyCodeLicense
Substance Use Disorder Rehabilitation Clinic/Center Primary 261QR0405XNone listed

Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...

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About NPI 1104583715

Phase Three Atc LLC's National Provider Identifier is 1104583715, issued on Nov 18, 2021. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Encino, CA. The record was last updated on Nov 18, 2021.