Organization
ACTION REHAB CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CIELLO SANTALARGO (EXECUTIVE PROGRAM DIRECTOR)
(213) 386-6320
Entity
Organization
Contact information
Practice address
1650 E 104TH ST, LOS ANGELES, CA 90002-3606
(213) 386-6320
(213) 386-6325
Mailing address
3540 WILSHIRE BLVD STE 300, LOS ANGELES, CA 90010-2347
(213) 386-6320
(213) 386-6325
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
PH-000551A
CA
Other
Enumeration date
08/18/2009
Last updated
08/18/2009
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