Organization · Type 2 NPI

Independence Community Treatment Clinic

Community Health Clinic/Center · Lancaster, CA

NPI number 1770711848 Active

Practice location

43520 Division St, 202, Conference Room
Lancaster, CA 93535-4089

Call (818) 776-1755 Map

Mailing address

19231 Victory Blvd
Reseda, CA 91335-6308

Specialties and licenses

TaxonomyCodeLicense
Community Health Clinic/Center Primary 261QC1500X960001358 (CA)

Community Health Clinic/Center: Definition to come...

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About NPI 1770711848

Independence Community Treatment Clinic's National Provider Identifier is 1770711848, issued on Jun 29, 2009. The primary taxonomy on file is Community Health Clinic/Center (261QC1500X), and the practice location is in Lancaster, CA. The record was last updated on Mar 8, 2010.