Organization Name: | TOPANGA ROSCOE CORPORATION |
NPI Number: | 1033596291 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CARY BUCHMAN (PRESIDENT) |
Mailing Address: | 9003 Reseda Blvd Suite 103 Northridge |
State: | CA US |
Postal Code: | 913243939 |
Phone Number: | 8188848100 |
Fax Number: | 8188847808 |
NPI Enumeration Date: | 04/27/2015 |
NPI Last Update Date: | 12/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |