Organization
RISING LOTUS RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TINA CARLSTROM (CFO)
(818) 983-7753
Entity
Organization
Contact information
Practice address
7701 AMPERE AVE, NORTH HOLLYWOOD, CA 91605-1904
(445) 300-8877
Mailing address
7701 AMPERE AVE, NORTH HOLLYWOOD, CA 91605-1904
(445) 300-8877
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
11/29/2022
Last updated
12/21/2023
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