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Organization
REHOBOTH COURAGE CENTER
Active
Organization
REHOBOTH COURAGE CENTER
Active
Parent organization
REHOBOTH COURAGE CENTER
Other names
Rehoboth Drug And Alcohol Prevention Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
REHOBOTH COURAGE CENTER
Authorized official
MR. ADEFEMI OLUFISAYO ADEGBESAN (PRESIDENT)
(310) 663-0789
Entity
Organization
Contact information
Practice address
718 W COMPTON BLVD, COMPTON, CA 90220-3015
(310) 663-0789
Mailing address
716 W COMPTON BLVD, COMPTON, CA 90220-3015
(310) 663-0789
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
CA
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629201629
—
CA
Enumeration date
06/21/2013
Last updated
12/16/2013
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