OrganizationActive
Phase Three Atc LLC
NPI 1104583715 · Substance Use Disorder Rehabilitation Clinic/Center · Encino, CA
Provider details
- NPI number
- 1104583715
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Brandan Freeman, Ceo(855) 740-1181
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
15720 Ventura Blvd Ste Ph
Encino, CA 91436-2914
Phone: (855) 740-1181
Street-level locationGet directions
Mailing address
Po Box 280
Boynton Beach, FL 33425-0280
Registry dates
- Enumerated
- 2021-11-18
- Last updated
- 2021-11-18
- Certified
- 2021-11-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.