Organization
CALIFORNIA DRUG TREATMENT PROGRAM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OSAYANDE AGHAZEBAMWAN (CEO)
(213) 747-0054
Entity
Organization
Contact information
Practice address
915 W WASHINGTON BLVD, SUITE B, LOS ANGELES, CA 90015-3311
(213) 747-0054
(213) 747-9515
Mailing address
915 W WASHINGTON BLVD, SUITE B, LOS ANGELES, CA 90015-3311
(213) 747-0054
(213) 747-9515
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
04/23/2007
Last updated
08/22/2020
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