Organization
FRED BROWN'S RECOVERY SERVICES
Active
Other names
Fred Brown Recovery Services
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELITA FERNANDO (ADMINISTRATIVE MANAGER)
(310) 519-8723
Entity
Organization
Contact information
Practice address
505 S PACIFIC AVENUE, SUITE 103,104,105,106,203,204,205,206, SAN PEDRO, CA 90731-2656
(310) 519-8723
(310) 519-8723
Mailing address
PO BOX 2743, SAN PEDRO, CA 90731-0182
(310) 519-8723
(310) 519-1309
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
08/28/2019
Last updated
05/15/2024
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