Organization
REHOBOTH DRUG AND ALCOHOL PREVENTION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADEFEMI OLUFISAYO ADEGBESAN MED (CHIEF EXECUTIVE OFFICER)
(310) 663-0789
Entity
Organization
Contact information
Practice address
568 W COMPTON BLVD, COMPTON, CA 90220
(310) 663-0789
(310) 627-9130
Mailing address
568 W COMPTON BLVD, COMPTON, CA 90220-3011
(310) 663-0789
(310) 627-9130
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
CA
3245S0500X
Children's Substance Abuse Rehabilitation Facility
19DG
CA
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0
—
CA
Enumeration date
12/10/2009
Last updated
08/24/2018
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