Organization
ABSOLUTE TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JARED WELLS (VICE PRESIDENT)
(323) 750-9600
Entity
Organization
Contact information
Practice address
1425 W MANCHESTER AVE, A, LOS ANGELES, CA 90047-5439
(212) 309-1244
(323) 750-9700
Mailing address
1425 W MANCHESTER AVE, A, LOS ANGELES, CA 90047-5439
(212) 309-1244
(323) 750-9700
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
302R00000X
CA
Other
Enumeration date
09/29/2010
Last updated
09/29/2010
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