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Organization
LOS ANGELES DRUG TREATMENT CENTER
Active
Organization
LOS ANGELES DRUG TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL A ADELEYE D,O, (PRESIDENT)
(310) 419-9616
Entity
Organization
Contact information
Practice address
3211 WEST IMPERIAL HWY, SAME AS MAILING ADDRESS, INGLEWOOD, CA 90303
(310) 419-9616
(310) 419-9617
Mailing address
3211 WEST IMPERIAL HWY, INGLEWOOD, CA 90303
(310) 419-9616
(310) 419-9617
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
190561AP
CA
Other
Enumeration date
07/02/2007
Last updated
08/22/2020
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