Provider First Line Business Practice Location Address:
PRISM BEHAVIORAL SOLUTIONS 21600 OXNARD STREET, SUITE 2
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WOODLAND HILLS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91367
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
877-206-1009
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/07/2022