Provider First Line Business Practice Location Address:
15339 SATICOY STREET
Provider Second Line Business Practice Location Address:
THERAPEUTIC BEHAVIOR SERVICES
Provider Business Practice Location Address City Name:
VAN NUYS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91406
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
818-823-4132
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/02/2019