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Organization

KOOL LIVING INC.

Active
Other names
Kool Living Recovery Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. NICHOLAS RUSSI LAADC CCS (VICE-PRESIDENT)
(951) 427-4807
Entity
Organization

Contact information

Practice address
20138 ELKWOOD ST, WINNETKA, CA 91306-2312
(323) 870-7777
Mailing address
20138 ELKWOOD ST, WINNETKA, CA 91306-2312

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
190778AP
CA

Other

Enumeration date
10/24/2013
Last updated
12/23/2016
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