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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