Organization
CALIFORNIA HISPANIC COMMISSION ON ALCOHOL & DRUG ABUSE
Active
Other names
Latinos Recovery Home
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GERMEEN DUPLESSIS MSW (PROJECT DIRECTOR)
(323) 722-4529
Entity
Organization
Contact information
Practice address
2436 WABASH AVE, LOS ANGELES, CA 90033-2510
(323) 780-8756
(323) 780-8333
Mailing address
3316-3322 W. BEVERLY BLVD., MONTEBELLO, CA 90640
(323) 722-4529
(323) 722-4450
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
190065CN
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
190065CN
DEPARTMENT OF HEALTH CARE SERVICES/ SUBSTANCE ABUSE PREVENTION & CONTROL
CA
Enumeration date
12/13/2013
Last updated
12/16/2013
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