Residential Detox & Sud Treatment

LBN: Antelope Valley Community Clinic
Residential Detox & Sud Treatment is an health care organization with primary practice located at 502 Sugar Loaf Dr , Palmdale CA 93551-7953. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Antelope Valley Community Clinic can be contacted via phone (661) 942-2391, or through Cook, James via phone (661) 942-2391.

Contact Information

Primary practice address
502 Sugar Loaf Dr Palmdale CA 93551-7953
Phone: (661) 942-2391
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cook, James
Phone: (661) 942-2391

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1154840320
LBN Legal business name Antelope Valley Community Clinic
DBA Doing business as Residential Detox & Sud Treatment
Authorized official Cook, James
Entity Organization
Organization subpart 1 No
Enumeration date Sep 19th, 2017
Last updated May 23rd, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154840320 NPPES
California Other 190045AN STATE LICENCSE

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