Organization
MARIPOSA DETOX CENTER II LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRANDAN FREEMAN (CEO)
(855) 740-1181
Entity
Organization
Contact information
Practice address
739 N MARIPOSA AVE, LOS ANGELES, CA 90029-3485
(855) 740-1181
Mailing address
739 N MARIPOSA AVE, LOS ANGELES, CA 90029-3485
(855) 740-1181
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
11/18/2021
Last updated
11/18/2021
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