Organization
AFFINITY GROUP, LLC.
Active
Parent organization
AFFINITY GROUP, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AFFINITY GROUP, LLC
Authorized official
EVAN RABINOWITZ (CEO)
(714) 422-0112
Entity
Organization
Contact information
Practice address
9 STARLIGHT ISLE, LADERA RANCH, CA 92694-1467
(714) 422-0122
Mailing address
PO BOX 748112, LOS ANGELES, CA 90074-8112
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
300330CP
CA
Other
Enumeration date
08/07/2017
Last updated
11/06/2017
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