Organization
RECOVERY CHANNEL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS HENNING (CEO)
(916) 752-8983
Entity
Organization
Contact information
Practice address
10000 RIVERSIDE DR, SUITE #4, TOLUCA LAKE, CA 91602-2537
(916) 752-8983
Mailing address
10000 RIVERSIDE DRIVE, SUITE #4, TOLUCA LAKE, CA 91690-0000
(916) 752-8983
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
CA
Other
Enumeration date
09/14/2015
Last updated
09/14/2015
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