Organization
DESTINATIONS TO RECOVERY, LLC
Active
Other names
Destinations for Teens
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL SAMSON (PRESIDENT)
(818) 650-9964
Entity
Organization
Contact information
Practice address
10461 QUAIL CANYON RD, EL CAJON, CA 92021-2242
(877) 619-6707
(818) 737-2222
Mailing address
20951 BURBANK BLVD STE D, WOODLAND HILLS, CA 91367-6696
(818) 737-2221
(818) 737-2222
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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