Organization
ROBERTSON ADHC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELEONORA GORDLIK MSW (PROGRAM DIRECTOR)
(310) 289-7711
Entity
Organization
Contact information
Practice address
369 S ROBERTSON BLVD, BEVERLY HILLS, CA 90211
(310) 289-7711
(310) 289-7367
Mailing address
369 S ROBERTSON BLVD, BEVERLY HILLS, CA 90211
(310) 289-7711
(310) 289-7367
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
ADU70161F
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AD470161F
—
CA
Enumeration date
09/08/2006
Last updated
08/22/2020
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