Organization
DIXON RECOVERY INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RONDA DIXON (DIRECTOR)
(323) 244-5677
Entity
Organization
Contact information
Practice address
4715 CRENSHAW BLVD, LOS ANGELES, CA 90043-1233
(323) 244-5677
(818) 759-6072
Mailing address
7054 VANSCOY AVE, NORTH HOLLYWOOD, CA 91605-5357
(323) 244-5677
(818) 759-6072
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
CA
251B00000X
Case Management Agency
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
12/28/2010
Last updated
12/28/2010
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