Organization
101 DANCE CENTER LLC
Active
Other names
Casa Blanca Outpatient Services
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA ALOMIA (COO)
(310) 869-6211
Entity
Organization
Contact information
Practice address
3246 CAHUENGA BLVD W, LOS ANGELES, CA 90068-1302
(818) 731-2738
Mailing address
11319 OVERLOOK TRL, KAGEL CANYON, CA 91342-6200
(818) 731-2738
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
04/19/2019
Last updated
07/16/2024
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