Organization
JWCH INSTITUTE, INC.
Active
Parent organization
JWCH INSTITUTE, INC.
Other names
Mini House Residential Treatment
Organization subpart
Yes
Provider details
NPI number
Legal business name
JWCH INSTITUTE, INC.
Authorized official
VERA MARTINEZ (PROGRAM COORDINATOR)
(323) 813-0200
Entity
Organization
Contact information
Practice address
303 E 52ND ST, LOS ANGELES, CA 90011-4513
(323) 813-0200
(323) 813-0207
Mailing address
5650 JILLSON ST, COMMERCE, CA 90040-1482
(323) 813-0200
(323) 813-0207
Taxonomy
Speciality
Code
Description
License number
State
261QR0800X
Recovery Care Clinic/Center
Primary
190718AN
CA
Other
Enumeration date
08/25/2015
Last updated
06/08/2016
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