Organization
EVERGREEN FUND
Active
Other names
Red Door Life
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEXANDER DAVID SHOHET (MANAGING DIRECTOR)
(323) 899-9115
Entity
Organization
Contact information
Practice address
8484 WILSHIRE BLVD STE 200, BEVERLY HILLS, CA 90211-3235
(323) 899-9115
(323) 870-8200
Mailing address
8033 W SUNSET BLVD STE 1053, LOS ANGELES, CA 90046-2401
(323) 899-9115
(323) 870-8200
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
08/06/2019
Last updated
06/17/2024
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