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Organization

LOS ANGELES RACOVERY CENTER

Active
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Organization

LOS ANGELES RACOVERY CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EDWARD SHKOLNIKOV (EXECUTIVE DIRECTOR)
(310) 883-5728
Entity
Organization

Contact information

Practice address
4972 W PICO BLVD, SUITE#208, LOS ANGELES, CA 90019-4200
(310) 883-5728
Mailing address
4972 W PICO BLVD, SUITE#208, LOS ANGELES, CA 90019-4200

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—

Other

Enumeration date
04/08/2008
Last updated
04/08/2008
About Stedi
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  • EDI platform