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Contact Information

THIRD STREET TREATMENT PARTNERS LLC
4067 W 3RD ST
LOS ANGELES, CA90020-3120
 Phone: 818-635-9380
 Fax: 818-337-0365
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Substance Abuse Disorder Rehabilitation Facility

324500000X
 

Case Management

251B00000X
Indicates primary specialty

NPI Profile & details for THIRD STREET TREATMENT PARTNERS LLC

NPI # 1588943203
LBN Legal business name THIRD STREET TREATMENT PARTNERS LLC
Authorized official CHRISTOPHER BATHUM - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/11/2011
Last updated 08/11/2011 - About 15 years ago
Identifiers
CA License # 190695
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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