Organization
AMERICAN DRUG RECOVERY PROGRAM, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EHIGIMETOR E INEGBENOISE (EXECUTIVE DIRECTOR)
(323) 759-3464
Entity
Organization
Contact information
Practice address
825 W 60TH ST, LOS ANGELES, CA 90044-5512
(323) 759-3464
(323) 759-3427
Mailing address
2724 W FLORENCE AVE, LOS ANGELES, CA 90043-5143
(323) 759-3464
(323) 759-3427
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
190530AP
CA
Other
Enumeration date
11/06/2012
Last updated
11/06/2012
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