Organization
CALIFORNIA DETOX & RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK LARRAZALETA BS (CEO)
(305) 216-8961
Entity
Organization
Contact information
Practice address
1237 S WILTON PL, LOS ANGELES, CA 90019-3542
(310) 990-4037
Mailing address
1225 S WILTON PL, LOS ANGELES, CA 90019-3542
(310) 990-4037
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
10/21/2024
Last updated
05/07/2025
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