# FRED BROWN'S RECOVERY SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700535762
- **Authorized official:** ANGELITA FERNANDO (ADMINISTRATIVE MANAGER)
- **Authorized official phone:** (310) 519-8723

## Contact information

- **Practice address:** 505 PACIFIC AVE, 103-106 & 205-206, SAN PEDRO, CA 90731-2656
- **Practice address phone:** (310) 519-8723
- **Practice address fax:** (310) 519-1309
- **Mailing address:** PO BOX 2743, SAN PEDRO, CA 90731-0182
- **Mailing address phone:** (310) 519-8723
- **Mailing address fax:** (310) 519-1309

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/18/2022
- **Last updated:** 04/05/2022