# SOUTHLAND OUTPATIENT RECOVERY CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southland Outpatient Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225294341
- **Authorized official:** MR. SUNDAY I. OKORO (CEO)
- **Authorized official phone:** (562) 884-2220

## Contact information

- **Practice address:** 920 N LONG BEACH BLVD, 1,2,& 3, COMPTON, CA 90221-2260
- **Practice address phone:** (562) 537-3396
- **Mailing address:** PO BOX 17144, LONG BEACH, CA 90807-7144
- **Mailing address phone:** (562) 884-2220

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | 3027962 | CA | Yes |

## Other

- **Enumeration date:** 07/29/2008
- **Last updated:** 11/26/2012
