Provider Demographics
NPI:1558621847
Name:VIP DRUG AND ALCOHOL EDUCATION CENTER
Entity Type:Organization
Organization Name:VIP DRUG AND ALCOHOL EDUCATION CENTER
Other - Org Name:VIP OUTPATIENT TREATMENT CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:ARMINE
Authorized Official - Middle Name:
Authorized Official - Last Name:TOROSYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-734-2761
Mailing Address - Street 1:18417 NORDHOFF ST STE D
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91325-2276
Mailing Address - Country:US
Mailing Address - Phone:818-734-2761
Mailing Address - Fax:818-734-2762
Practice Address - Street 1:2050 N SAN FERNANDO RD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90065-1267
Practice Address - Country:US
Practice Address - Phone:818-734-2761
Practice Address - Fax:818-734-2762
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VIP DRUG AND ALCOHOL EDUCATION CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-05-21
Last Update Date:2015-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health