Organization
CIRCLE OF LIFE OUTPATIENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARINA VERKHOVSKY (CEO)
(213) 595-3450
Entity
Organization
Contact information
Practice address
715 N RIDGEWOOD PL, LOS ANGELES, CA 90038-3105
(323) 578-8546
Mailing address
2420 HERCULES DR, LOS ANGELES, CA 90046-1634
(323) 578-8546
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
09/16/2014
Last updated
09/16/2014
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