Organization
ASCENSION TREATMENT CENTERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW ALPHONSO HENDERSON MS (PROGRAM DIRECTOR)
(323) 493-6064
Entity
Organization
Contact information
Practice address
4804 PARKGLEN AVE, VIEW PARK, CA 90043-1012
(323) 792-4007
(323) 792-4474
Mailing address
4804 PARKGLEN AVE, VIEW PARK, CA 90043-1012
(323) 792-4007
(323) 792-4474
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
02/24/2017
Last updated
02/24/2017
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