Provider Demographics
NPI:1710906904
Name:DEVELOPMENT SPECIALTY PROJECTS
Entity Type:Organization
Organization Name:DEVELOPMENT SPECIALTY PROJECTS
Other - Org Name:HEALTH CARE DUAL DIAGNOSIS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:MCGUIRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-821-8023
Mailing Address - Street 1:19300 RINALDI ST # 8270
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91326-1651
Mailing Address - Country:US
Mailing Address - Phone:909-821-8023
Mailing Address - Fax:818-392-5025
Practice Address - Street 1:11151 VANOWEN ST
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91605-6316
Practice Address - Country:US
Practice Address - Phone:909-821-8023
Practice Address - Fax:818-392-5025
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder