Organization
LOS ANGELES CENTERS FOR ALCOHOL AND DRUG ABUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA WIEWEL LCSW (EXECUTIVE DIRECTOR)
(562) 906-2676
Entity
Organization
Contact information
Practice address
11015 BLOOMFIELD AVE, SANTA FE SPRINGS, CA 90670-4601
(562) 906-2676
(562) 906-2681
Mailing address
11015 BLOOMFIELD AVE, SANTA FE SPRINGS, CA 90670-4601
(562) 906-2676
(562) 906-2681
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
190100BN
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
191937000
MEDICAL
CA
Enumeration date
02/02/2010
Last updated
02/02/2010
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