Organization
DESTINATIONS TO RECOVERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL A SAMSON (PRESIDENT)
(818) 650-9964
Entity
Organization
Contact information
Practice address
15428 SLEEPY CREEK RD, EL CAJON, CA 92021-6034
(818) 650-9964
Mailing address
21051 WARNER CENTER LN STE 220, WOODLAND HILLS, CA 91367-6592
(818) 650-9964
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
10/25/2021
Last updated
10/25/2021
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