Organization
HOLLYWOOD RECOVERY TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH SAMUEL (CEO)
(323) 467-0849
Entity
Organization
Contact information
Practice address
12500 RIVERSIDE DR STE 211, STUDIO CITY, CA 91607-3436
(323) 467-0849
Mailing address
12500 RIVERSIDE DR STE 211, STUDIO CITY, CA 91607-3436
(323) 467-0849
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/02/2011
Last updated
03/02/2011
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