Organization
CRC HEALTH JEFF GRAND TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACLYN JEAN BATTALIA BA RASI (CLINICAL DIRECTOR)
(213) 747-7267
Entity
Organization
Contact information
Practice address
3130 S HILL ST, LOS ANGELES, CA 90007
(213) 747-7267
(213) 747-4835
Mailing address
3130 S HILL ST, LOS ANGELES, CA 90007
(213) 747-7267
(213) 747-4835
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
CAADP19010
CA
Other
Enumeration date
08/08/2006
Last updated
08/22/2020
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