Organization
SOUTHLAND OUTPATIENT RECOVERY CENTER
Active
Other names
Southland Outpatient Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SUNDAY I. OKORO (CEO)
(562) 884-2220
Entity
Organization
Contact information
Practice address
920 N LONG BEACH BLVD, 1,2,& 3, COMPTON, CA 90221-2260
(562) 537-3396
Mailing address
PO BOX 17144, LONG BEACH, CA 90807-7144
(562) 884-2220
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
3027962
CA
Other
Enumeration date
07/29/2008
Last updated
11/26/2012
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