Organization
AVALON OUTPATIENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK SCOTT LAADC-CA (ADMIN ASST)
(562) 980-6639
Entity
Organization
Contact information
Practice address
1547 N AVALON BLVD, WILMINGTON, CA 90744-1552
(424) 477-5334
(562) 324-6274
Mailing address
1547 N AVALON BLVD, WILMINGTON, CA 90744-1552
(424) 477-5334
(562) 324-6274
Taxonomy
Speciality
Code
Description
License number
State
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
Primary
—
—
Other
Enumeration date
04/24/2020
Last updated
04/24/2020
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