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Organization
WEST COAST DRUG AND ALCOHOL EDUCATION PROGRAM
Active
Organization
WEST COAST DRUG AND ALCOHOL EDUCATION PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL ONORIODE UMUKORO (EXECUTIVE DIRECTOR)
(818) 908-1740
Entity
Organization
Contact information
Practice address
6850 VAN NUYS BLVD, STE.125, VAN NUYS, CA 91405-4640
(818) 908-1740
(818) 908-3336
Mailing address
6850 VAN NUYS BLVD, STE.125, VAN NUYS, CA 91405-4640
(818) 908-1740
(818) 908-3336
Taxonomy
Speciality
Code
Description
License number
State
261QR0800X
Recovery Care Clinic/Center
Primary
NOT YET
CA
Other
Enumeration date
02/02/2008
Last updated
02/02/2008
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