Organization
KLEAN W. HOLLYWOOD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARRYL BOOTH (DIRECTOR OF OPERATIONS)
(310) 492-9820
Entity
Organization
Contact information
Practice address
844 HILLDALE AVE, WEST HOLLYWOOD, CA 90069-4907
(310) 492-9820
Mailing address
9000 W SUNSET BLVD, SUITE 650B, WEST HOLLYWOOD, CA 90069-5801
(310) 492-9820
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
190692CP
CA
Other
Enumeration date
03/15/2011
Last updated
05/13/2014
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