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Organization

DIXON RECOVERY INSTITUTE, INC.

Active
Parent organization
DIXON RECOVERY INSTITUTE, INC.
Other names
DRI/Animo Locke 3 Charter High School
Organization subpart
Yes

Provider details

NPI number
Legal business name
DIXON RECOVERY INSTITUTE, INC.
Authorized official
RONDA DIXON JD (EXECUTIVE DIRECTOR/POSITION)
(323) 244-5677
Entity
Organization

Contact information

Practice address
325 E 111TH ST, RMS. 241 & 327, LOS ANGELES, CA 90061-3003
(323) 244-5677
(323) 988-9672
Mailing address
4715 CRENSHAW BLVD, #14, LOS ANGELES, CA 90043-1233
(323) 244-5677
(323) 988-9672

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
190622AN
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
197336
DRUG MEDI-CAL
CA
Enumeration date
05/28/2009
Last updated
10/14/2009
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