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Organization
CATALYST RECOVERY LLC
Active
Organization
CATALYST RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SKYA O'SHAUGHNESSEY (PROGRAM DIRECTOR)
(323) 632-9718
Entity
Organization
Contact information
Practice address
10250 CONSTELLATION BLVD STE 100, LOS ANGELES, CA 90067-6272
(323) 632-9718
Mailing address
10250 CONSTELLATION BLVD STE 100, LOS ANGELES, CA 90067-6272
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
—
NULL
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
—
—
Other
Enumeration date
01/29/2020
Last updated
02/03/2020
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