Organization
CIRCLE OF FRIENDS OUTPATIENT SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN PROSHAK (CEO)
(323) 465-5888
Entity
Organization
Contact information
Practice address
715 N RIDGEWOOD PL, LOS ANGELES, CA 90038-3105
(323) 465-5888
Mailing address
715 N RIDGEWOOD PL, LOS ANGELES, CA 90038-3105
(323) 465-5888
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
190272AP
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02937706
TREATMENT FACILITY
CA
Enumeration date
04/04/2007
Last updated
08/22/2011
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