Organization
CAST CENTERS LLC
Active
Parent organization
CAST HOLDINGS LLC
Other names
Cast Recovery Services of Santa Monica, Inc.
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAST HOLDINGS LLC
Authorized official
STEPHANIE L. GRAYSON PH.D. (EXECUTIVE DIRECTOR)
(310) 873-3935
Entity
Organization
Contact information
Practice address
630 N DOHENY DR, WEST HOLLYWOOD, CA 90069-5506
(310) 873-3935
(310) 564-1883
Mailing address
630 N DOHENY DR, WEST HOLLYWOOD, CA 90069-5506
(310) 873-3935
(310) 564-1883
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
03/08/2016
Last updated
03/08/2016
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