Organization
BEHAVIORAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FELIPE RODRIGUEZ CLINICAL SUPERVISOR (SUPERVISOR)
(323) 221-1746
Entity
Organization
Contact information
Practice address
4099 N MISSION RD, LOS ANGELES, CA 90032-2554
(323) 221-1746
(323) 221-5176
Mailing address
4099 N MISSION RD, LOS ANGELES, CA 90032-2554
(323) 221-1746
(323) 221-5176
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
12/01/2011
Last updated
12/01/2011
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