NPI 1356003289

Til LP

Organisation Substance Abuse Rehabilitation Facility Lancaster, CA

Practice location

Address: 2639 W Avenue K4, Lancaster, CA 93536-5369
Phone: (661) 579-9805

Authorised official

Name: Edward Krivitsky
Title: Owner
Phone: (818) 371-3474

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

Other Substance Abuse Rehabilitation Facility providers in California →

Registry record

NPI: 1356003289
Entity type: Organization
NPI issued: 7 Oct 2021
Record last updated: 7 Oct 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.