Organization
DICTA HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENJAMIN N OKOLO (EXCUTIVE DIRECTOR)
(310) 673-4117
Entity
Organization
Contact information
Practice address
323 N PRAIRIE AVE STE 315, INGLEWOOD, CA 90301-4505
(310) 673-4117
(310) 673-4118
Mailing address
323 N PRAIRIE AVE STE 315, INGLEWOOD, CA 90301-4505
(310) 673-4117
(310) 673-4118
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
190545AN
CA
Other
Enumeration date
12/04/2007
Last updated
12/04/2007
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