Organization
310 RECOVERY INC.
Active
Parent organization
310 RECOVERY INC.
Other names
310 Residential
Organization subpart
Yes
Provider details
NPI number
Legal business name
310 RECOVERY INC.
Authorized official
MR. DANIEL MEDINA (DIRECTOR)
(310) 710-1652
Entity
Organization
Contact information
Practice address
1723 1/2 HAUSER BLVD, LOS ANGELES, CA 90019
(310) 935-9849
Mailing address
2233 CORINTH AVE, LOS ANGELES, CA 90064-1601
(310) 663-8890
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
02/21/2019
Last updated
02/21/2019
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