Organization
UNIVERSITY RECOVERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL BURNS DAVENPORT (DIRECTOR)
(818) 606-7777
Entity
Organization
Contact information
Practice address
2310 ELLENDALE PL, LOS ANGELES, CA 90007-1744
(818) 606-7777
Mailing address
2310 ELLENDALE PL, LOS ANGELES, CA 90007-1744
(818) 606-7777
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
07/16/2014
Last updated
07/16/2014
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