Organization
RENEWAL SOBRIETY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MORDECHI DOVID OSIAS (PROGRA DIRECTOR)
(323) 684-7089
Entity
Organization
Contact information
Practice address
6442 COLDWATER CANYON AVE, SUITE 200, NORTH HOLLYWOOD, CA 91606-1137
(323) 684-7089
Mailing address
4931 BLUEBELL AVE, VALLEY VILLAGE, CA 91607-2901
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
10/06/2016
Last updated
11/23/2016
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