Organization
BEIT T'SHUVAH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SERGIO RIZZO-FONTANESI PHD (EXECUTIVE DIRECTOR)
(310) 204-5200
Entity
Organization
Contact information
Practice address
8831 VENICE BLVD, LOS ANGELES, CA 90034-3223
(310) 204-5200
(310) 838-3545
Mailing address
8831 VENICE BLVD, LOS ANGELES, CA 90034-3223
(310) 204-5200
(310) 838-3545
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
190326AN
CA
324500000X
Substance Abuse Rehabilitation Facility
Primary
190326AN
CA
Other
Enumeration date
11/14/2007
Last updated
08/18/2020
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