Organization
WESTSIDE SOBER LIVING CENTERS, INC
Active
Parent organization
ELEMENTS BEHAVIORAL HEALTH, INC
Other names
PROMISES PTP
Organization subpart
Yes
Provider details
NPI number
Legal business name
ELEMENTS BEHAVIORAL HEALTH, INC
Authorized official
MRS. CHERYL MAPLESDEN CPC, CHC, CHPC (SR DIRECTOR RCM)
(615) 510-3708
Entity
Organization
Contact information
Practice address
2515 WILSHIRE BLVD, SANTA MONICA, CA 90403-4615
(866) 595-3105
(424) 272-9303
Mailing address
PO BOX 670549, DALLAS, TX 75267-0549
(615) 567-7282
(615) 261-8912
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
190625GP
CA
Other
Enumeration date
10/11/2016
Last updated
10/11/2016
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