Organization · NPI-2

Asc Treatment Group

Psychiatric Residential Treatment Facility · Los Angeles, CA

NPI number1821625138
StatusActive
Last updated in NPPESMar 25, 2020

Details

NPI
1821625138
Entity type
Organization (NPI-2)
Legal business name
Asc Treatment Group
Organization subpart
No
Enumeration date
Mar 25, 2020
Certification date
Mar 25, 2020
Last updated
Mar 25, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
323P00000X Psychiatric Residential Treatment Facility––Yes

Other names

  • Anne Sippi Clinic (Doing Business As)

Practice location

2457 Endicott St
Los Angeles, CA 90032-3098

Phone 323-227-5252

Mailing address

2457 Endicott St
Los Angeles, CA 90032-3047

Phone 323-227-5252 · Fax 323-227-9032

Authorized official

Donetta Jackson
Administrator
3233182520

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