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Organization

BRIDGES TO RECOVERY III

Active
Parent organization
BRIDGES TO RECOVERY II LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
BRIDGES TO RECOVERY II LLC
Authorized official
MR. FREDERIK VILHELM SCHULIN (ADMINISTRATOR)
(310) 459-0613
Entity
Organization

Contact information

Practice address
777 SARBONNE RD, LOS ANGELES, CA 90077-3320
(310) 459-0613
(310) 573-7092
Mailing address
1460 SAN REMO DR., PACIFIC PALISADES, CA 90272
(310) 459-0613
(310) 573-7092

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
198601411
CA

Other

Enumeration date
12/16/2011
Last updated
12/16/2011
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