Organization
180 CENTER LA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX SHERBET (CEO)
(323) 899-9115
Entity
Organization
Contact information
Practice address
1775 SUMMITRIDGE DR, BEVERLY HILLS, CA 90210-1607
(888) 588-4180
Mailing address
1775 SUMMITRIDGE DR, BEVERLY HILLS, CA 90210-1607
(888) 588-4180
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
190704AP
CA
Other
Enumeration date
04/27/2011
Last updated
04/27/2011
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