Organization
INTEGRITY TREATMENT PROGRAM, LLC
Active
Other names
Recover Integrity
Organization subpart
No
Provider details
NPI number
Authorized official
YESHAIA BLAKENEY (CEO)
(310) 294-9030
Entity
Organization
Contact information
Practice address
12301 WILSHIRE BLVD STE 206, LOS ANGELES, CA 90025-1000
(310) 294-9030
Mailing address
12301 WILSHIRE BLVD STE 206, LOS ANGELES, CA 90025-1000
(310) 294-9030
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
Other
Enumeration date
01/14/2016
Last updated
05/07/2021
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