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Organization
SHATTO STREET
Active
Organization
SHATTO STREET
Active
Parent organization
DIXON RECOVERY INSTITUTE, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIXON RECOVERY INSTITUTE, INC.
Authorized official
RONDA RENEE DIXON JD (EXECUTIVE DIRECTOR)
(323) 988-3744
Entity
Organization
Contact information
Practice address
1543 SHATTO ST, LOS ANGELES, CA 90017-1718
(213) 353-4407
Mailing address
4715 CRENSHAW BLVD, LOS ANGELES, CA 90043-1233
(323) 988-3744
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
190622AN
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
197336
—
CA
Enumeration date
03/23/2012
Last updated
03/23/2012
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