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Organization
DIXON RECOVERY INSTITUTE, INC.
Active
Organization
DIXON RECOVERY INSTITUTE, INC.
Active
Parent organization
DIXON RECOVERY INSTITUTE, INC.
Other names
Central High School's Sojourner Truth Classroom
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIXON RECOVERY INSTITUTE, INC.
Authorized official
RONDA DIXON JD (EXECUTIVE DIRECTOR)
(323) 988-3744
Entity
Organization
Contact information
Practice address
4066 W 17TH ST, MODULE #1 & 2, LOS ANGELES, CA 90019-6025
(323) 988-3744
Mailing address
4715 CRENSHAW BLVD, LOS ANGELES, CA 90043-1233
(323) 988-3744
(323) 988-9672
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
190622AN
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7336
DRUG MEDI-CAL
CA
Enumeration date
07/24/2009
Last updated
05/07/2012
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