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ACHIEVE BEHAVIORAL ASSOCIATES, LLC



Provider NPI: 1962751586

Organization Information:
Organization Name:  ACHIEVE BEHAVIORAL ASSOCIATES, LLC
Organization is Subpart
Authorized Official:  MELLISSA  DECONZA  CLINICAL DIRECTOR  661-373-0284

Practice Location:
23240 LYONS AVE  NEWHALL, CA 91321-2633 US
Tel: 661-373-0284  Fax: --

Business Mailing Address:
21143 PLACERITA CANYON RD  NEWHALL, CA 91321-1922 US
Tel: 805-816-2024  Fax: --

NPI Information:
NPI: 1962751586
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103K00000X


Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 103K00000X

Type:

Classification:



Definition:



MEDICAL JOBS CA - Page 1

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