Organization
DIXON RECOVERY INSTITUTE, INC.
Active
Organization
DIXON RECOVERY INSTITUTE, INC.
Active
Parent organization
DIXON RECOVERY INSTITUTE, INC.
Other names
DRI/Leimert Park Tri-C
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIXON RECOVERY INSTITUTE, INC.
Authorized official
RONDA DIXON JD (EXECUTIVE DIRECTOR)
(323) 988-3744
Entity
Organization
Contact information
Practice address
3124 7TH AVENUE, LOS ANGELES, CA 90018-1819
(323) 988-3744
(323) 988-9672
Mailing address
4715 CRENSHAW BLVD, LOS ANGELES, CA 90043-1233
(323) 988-3744
(323) 988-9672
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
190622AN
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
197336
DRUG MEDI-CAL
CA
Enumeration date
07/01/2009
Last updated
07/27/2012
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