Organization
DESTINATIONS TO RECOVERY, LLC
Active
Parent organization
DESTINATIONS TO RECOVERY LLC
Other names
Destinations for Teens
Organization subpart
Yes
Provider details
NPI number
Legal business name
DESTINATIONS TO RECOVERY LLC
Authorized official
DANIEL A SAMSON (OWNER/PRESIDENT)
(818) 737-2221
Entity
Organization
Contact information
Practice address
22842 HATTERAS ST, WOODLAND HILLS, CA 91367-4231
(818) 737-2221
Mailing address
20951 BURBANK BLVD STE D, WOODLAND HILLS, CA 91367-6696
(818) 650-9964
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
12/19/2019
Last updated
01/18/2024
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