Organization
EVERGREEN FUND
Active
Other names
Red Door Life
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER DAVID SHOHET (N/S)
(323) 899-9115
Entity
Organization
Contact information
Practice address
14475 MULHOLLAND DR, LOS ANGELES, CA 90077-1733
(424) 242-2760
Mailing address
8033 W SUNSET BLVD # 1053, LOS ANGELES, CA 90046-2401
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
02/18/2022
Last updated
03/04/2022
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