Organization
BREATHE WEHO TREATMENT SERVICES
Active
Other names
Breathe Life Healing Centers
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN ANN DOCKERY (DIRECTOR OF REVENUE CYCLE MANAGEMEN)
(800) 929-5904
Entity
Organization
Contact information
Practice address
8060 MELROSE AVE FL 3, LOS ANGELES, CA 90046-7039
(800) 929-5904
(855) 275-5428
Mailing address
8060 MELROSE AVE FL 3, LOS ANGELES, CA 90046-7039
(800) 929-5904
(855) 275-5428
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
190788AP
CA
Other
Enumeration date
11/04/2013
Last updated
10/30/2020
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