Organization
FRED BROWN'S RECOVERY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELITA FERNANDO (ADMINISTRATIVE MANAGER)
(310) 519-8723
Entity
Organization
Contact information
Practice address
356 W 13TH ST, SAN PEDRO, CA 90731-4210
(310) 519-8723
(310) 519-1309
Mailing address
PO BOX 2743, SAN PEDRO, CA 90731-0182
(310) 519-8723
(310) 519-1309
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
06/08/2020
Last updated
03/08/2022
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