California State University Northridge
Community Based Residential Treatment Facility, Mental Illness in Lancaster, CA. Organization (NPI-2).
NPI number1144698564
StatusActive
Last updated in NPPESSep 2, 2015
Details
- NPI
- 1144698564
- Entity type
- Organization (NPI-2)
- Legal business name
- California State University Northridge
- Organization subpart
- No
- Enumeration date
- Sep 2, 2015
- Last updated
- Sep 2, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | – | – | Yes |
Practice location
5300 W Avenue ILancaster, CA 93536-8312
Phone 661-940-4122
Mailing address
18111 Nordhoff StNorthridge, CA 91330-8226
Phone 818-677-1200
Authorized official
Tiffany Brooks
Field Consultant Liaison Sw Dept
3103511809
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