Organization
ELEMENTAL TREATMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN BOND (CFO)
(310) 457-0128
Entity
Organization
Contact information
Practice address
1976 S LA CIENEGA BLVD STE 668, LOS ANGELES, CA 90034-1627
(310) 721-6447
Mailing address
1976 S LA CIENEGA BLVD STE 668, LOS ANGELES, CA 90034-1627
(310) 721-6447
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
08/07/2017
Last updated
02/06/2020
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