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Organization
KIPLING TREATMENT GROUP
Active
Organization
KIPLING TREATMENT GROUP
Active
Other names
Walking Miracles Billing Group
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER BATHUM CEO (CEO)
(818) 635-9380
Entity
Organization
Contact information
Practice address
4067 W 3RD ST, LOS ANGELES, CA 90020-3120
(888) 870-2201
(888) 337-0365
Mailing address
4067 W 3RD ST, LOS ANGELES, CA 90020-3120
(888) 870-2201
(888) 337-0365
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
MD A45231
CA
Other
Enumeration date
08/23/2011
Last updated
08/23/2011
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