Provider Demographics
NPI:1194544858
Name:PROMISES TREATMENT INC
Entity type:Organization
Organization Name:PROMISES TREATMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ALEXA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROGERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-818-3025
Mailing Address - Street 1:17750 SHERMAN WAY STE 310
Mailing Address - Street 2:
Mailing Address - City:RESEDA
Mailing Address - State:CA
Mailing Address - Zip Code:91335-8332
Mailing Address - Country:US
Mailing Address - Phone:818-818-3025
Mailing Address - Fax:
Practice Address - Street 1:17750 SHERMAN WAY STE 310
Practice Address - Street 2:
Practice Address - City:RESEDA
Practice Address - State:CA
Practice Address - Zip Code:91335-8332
Practice Address - Country:US
Practice Address - Phone:818-818-3025
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-08
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes276400000XHospital UnitsRehabilitation, Substance Use Disorder Unit
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health