Organization
BREATHE WEHO TREATMENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN ANN DOCKERY (DIRECTOR OF RCM)
(800) 929-5904
Entity
Organization
Contact information
Practice address
8020 JOVENITA CANYON DR, LOS ANGELES, CA 90046-1501
(800) 929-5904
Mailing address
8060 MELROSE AVE FL 3, LOS ANGELES, CA 90046-7039
(800) 929-5904
(855) 275-5428
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
190788BP
CA
Other
Enumeration date
06/29/2018
Last updated
10/30/2020
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