Organization
KOOL LIVING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS RUSSI (CEO)
(951) 427-4807
Entity
Organization
Contact information
Practice address
26362 VIA CANON, CAPO BEACH, CA 92624-1214
(323) 870-7777
Mailing address
20138 ELKWOOD ST, WINNETKA, CA 91306-2312
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
01/06/2017
Last updated
11/06/2017
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