# FORTITUDE RECOVERY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013467091
- **Authorized official:** DR. ROD AMIRI M.D. (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (323) 375-5959

## Contact information

- **Practice address:** 2477 FLETCHER DR, LOS ANGELES, CA 90039-2801
- **Practice address phone:** (323) 375-5959
- **Practice address fax:** (323) 419-3165
- **Mailing address:** 2477 FLETCHER DR, LOS ANGELES, CA 90039-2801
- **Mailing address phone:** (323) 375-5959
- **Mailing address fax:** (323) 419-3165

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | 0002934671-0001-4 | CA | Yes |

## Other

- **Enumeration date:** 10/13/2016
- **Last updated:** 10/13/2016
