| Organization Name: | RESEDA SUBSTANCE ABUSE TREATMENT CENTER |
| NPI Number: | 1134127525 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ZACKARY BATSALKIN (PRESIDENT/CEO) |
| Mailing Address: | 8745 Parthenia Pl Suite 4 North Hills |
| State: | CA US |
| Postal Code: | 913435166 |
| Phone Number: | 8188955002 |
| Fax Number: | 8188955502 |
| NPI Enumeration Date: | 07/11/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 190324AP |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |