Organization
HOPE STREET
Active
Parent organization
DIXON RECOVERY INSTITUTE, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIXON RECOVERY INSTITUTE, INC.
Authorized official
MS. RONDA RENEE DIXON JD (EXECUTIVE DIRECTOR)
(323) 988-3744
Entity
Organization
Contact information
Practice address
320 W 15TH ST, 2ND FLOOR, LOS ANGELES, CA 90015-3007
(323) 344-7465
Mailing address
4715 CRENSHAW BLVD, LOS ANGELES, CA 90043-1233
(323) 988-3744
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
190622AN
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
197336
—
CA
Enumeration date
03/20/2012
Last updated
03/20/2012
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