Organization
TRC TREATMENT CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM B. ZAGHA (CHIEF ADMINISTRATIVE OFFICER)
(424) 835-6506
Entity
Organization
Contact information
Practice address
11150 W OLYMPIC BLVD STE 775, LOS ANGELES, CA 90064-1850
(424) 835-6506
Mailing address
2315 WESTWOOD BLVD, LOS ANGELES, CA 90064-2109
(310) 280-0107
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
07/06/2017
Last updated
07/06/2017
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