Organization
LOS ANGELES CENTERS FOR ALCOHOL AND DRUG ABUSE
Active
Organization
LOS ANGELES CENTERS FOR ALCOHOL AND DRUG ABUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRENDA WIEWEL LCSW (EXECUTIVE DIRECTOR)
(562) 906-2676
Entity
Organization
Contact information
Practice address
470 E 3RD ST, A, LOS ANGELES, CA 90013-1629
(213) 626-6411
(213) 626-8115
Mailing address
11015 BLOOMFIELD AVE, SANTA FE SPRINGS, CA 90670-4601
(562) 906-2676
(562) 906-2681
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
190100EN
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
190100EN
DEPARTMENT HEALTH CARE SERVICES CERTIFICATION NUMBER
CA
05
—
197564
—
CA
Enumeration date
04/30/2014
Last updated
04/30/2014
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