Organization
CALIFORNIA NEW LIFE DETOX AND RECOVERY HOMES, INC.
Active
Parent organization
CALIFORNIA NEW LIFE DETOX AND RECOVERY HOMES, INC.
Other names
CALIFORNIA NEW LIFE DETOX AND RECOVERY HOMES, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CALIFORNIA NEW LIFE DETOX AND RECOVERY HOMES, INC.
Authorized official
MR. EMMANUEL OYEBOBOLA (CEO)
(181) 775-9431
Entity
Organization
Contact information
Practice address
9529 CORBIN AVE, NORTHRIDGE, CA 91324-2120
(818) 775-9431
(818) 626-9749
Mailing address
9529 CORBIN AVE, NORTHRIDGE, CA 91324-2120
(818) 775-9431
(818) 626-9749
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
190851BP
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
190851BP
DHCS. STATE LICENSE NUMBER 190851BP
CA
Enumeration date
03/03/2016
Last updated
03/03/2016
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