Organization
KLEAN W. HOLLYWOOD, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARRYL BOOTH (DIRECTOR OF OPERATIONS)
(888) 601-6040
Entity
Organization
Contact information
Practice address
9000 W SUNSET BLVD STE 650B, WEST HOLLYWOOD, CA 90069-5801
(310) 895-7095
Mailing address
9000 W SUNSET BLVD STE 650B, WEST HOLLYWOOD, CA 90069-5801
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
06/23/2014
Last updated
06/23/2014
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