Organization
ACTIVE RECOVERY SOLUTIONS LLC
Active
Other names
Valley Detox Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LONNIE MCCREERY (CEO)
(213) 858-3786
Entity
Organization
Contact information
Practice address
5316 LUBAO AVE, WOODLAND HILLS, CA 91364-3623
(213) 858-3786
Mailing address
5318 ALLOTT AVE, SHERMAN OAKS, CA 91401-5903
(213) 858-3786
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
190892AP
COMMERCIAL INSURANCES
CA
Enumeration date
04/21/2020
Last updated
04/21/2020
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