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Organization
SOUTHLAND OUTPATIENT RECOVERY CENTER
Active
Organization
SOUTHLAND OUTPATIENT RECOVERY CENTER
Active
Other names
Southland Outpatient Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SUNDAY I. OKORO (CEO)
(562) 884-2220
Entity
Organization
Contact information
Practice address
920 N LONG BEACH BLVD, 1,2,& 3, COMPTON, CA 90221-2260
(562) 537-3396
Mailing address
PO BOX 17144, LONG BEACH, CA 90807-7144
(562) 884-2220
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
3027962
CA
Other
Enumeration date
07/29/2008
Last updated
11/26/2012
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