| Organization Name: | TOTAL FAMILY SUPPORT CLINIC |
| NPI Number: | 1639347362 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARINA VERKHOVSKY (DIRECTOR OF HR) |
| Mailing Address: | 13580 Osborne St Arleta |
| State: | CA US |
| Postal Code: | 913315524 |
| Phone Number: | 2132130581 |
| Fax Number: | 2132130580 |
| NPI Enumeration Date: | 02/15/2008 |
| NPI Last Update Date: | 06/24/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |