TRTC OUTPATIENT DRUG TREATMENT (NPI# 1851548556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851548556 |
Entity Type | Organization |
Organization Name | TRTC OUTPATIENT DRUG TREATMENT |
Other Organization Name | THE RANCH AT TOPANGA CANYON |
Practice Address |
22287 Mulholland Hwy Ste 136 Calabasas CA 91302-5157 |
Practice Telephone | 3104554555 |
Mailing Telephone | 3104554555 |
Enumeration Date | 2008-08-25 |
Last Update Date | 2008-08-25 |
Authorized Official Name | CHRISTOPHER JAMES BATHUM (OWNER/MANAGER) |
Authorized Official Telephone | 3104554555 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
A45231 | CA | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
The Ranch at Topanga Canyon | Doing Business As Name - Organization |
Street Address |
22287 MULHOLLAND HWY STE 136 |
City | CALABASAS |
State | CA |
Zip Code | 91302-5157 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720258437 | Topanga Ranch Treatment Center | Substance Abuse Rehabilitation Facility | 22287 Mulholland Hwy Ste 136, Calabasas, CA 91302-5157 | 2008-03-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518564921 | Joanna Sara Gould | Social Worker | 3520 Consuelo Drive, Calabasas, CA 91302 | 2020-10-08 |
1104485069 | Shannon Bright | Behavior Technician | 5741 Las Virgenes Rd, Calabasas, CA 91302 | 2019-06-13 |
1356857494 | Evolve Growth Initiatives LLC | Substance Abuse Rehabilitation Facility | 423 Woodbluff Rd, Calabasas, CA 91302 | 2017-12-27 |
1700302684 | Supreme Diagnostics Inc. | Radiology | 26213 Veva Way, Calabasas, CA 91302 | 2017-08-22 |
1528590817 | Nataliya Bulba | Pharmacist | 5544 Las Virgenes Road 107, Calabasas, CA 91302 | 2017-03-28 |
1477933794 | Samantha Cassandra Madziarski | Psychiatry & Neurology | 26135 Mureau Rd Ste 101, Calabasas, CA 91302 | 2015-06-02 |
1659778694 | Sharon Hensel-cohen | Speech-Language Pathologist | 4302 Park Paloma, Calabasas, CA 91302 | 2014-11-19 |
1699171066 | Deborah Heidi Cohen | Marriage & Family Therapist | 22231 Mulholland Highway, Suite 200, Calabasas, CA 91302 | 2014-11-13 |
1801297502 | Laurel Deurmier | Behavioral Analyst | 5741 Las Virgenes Rd Ste A, Calabasas, CA 91302 | 2014-09-12 |
1518383520 | Tammy Brandt | Psychologist | 5016 North Parkway Calabasas, 215, Calabasas, CA 91302 | 2014-03-14 |
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Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.