Organization
KLEAN ASTORIA - OR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW SPANSWICK (CEO)
(310) 435-8096
Entity
Organization
Contact information
Practice address
1230 MARINE DR, SUITE 201, ASTORIA, OR 97103-4059
(503) 325-2067
Mailing address
9000 W SUNSET BLVD, 650 B, WEST HOLLYWOOD, CA 90069-5801
(310) 740-4843
(310) 657-4420
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
01/22/2013
Last updated
05/12/2014
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