Organization
AMERICAN RIVIERA LLC
Active
Other names
Mission Harbor Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE DEKIN (CFO)
(310) 498-0102
Entity
Organization
Contact information
Practice address
12114 VENICE BLVD, LOS ANGELES, CA 90066-3812
(310) 498-0102
Mailing address
13135 LAKE ST, LOS ANGELES, CA 90066-2204
(310) 498-0102
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
05/24/2021
Last updated
05/24/2021
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