Organization
SOCIAL MODEL RECOVERY SYSTEMS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNETTA HALE AMFT, LPT, MA (SENIOR DIRECTOR OF CLINICAL SERVICE)
(626) 332-3145
Entity
Organization
Contact information
Practice address
3426 COGSWELL RD, EL MONTE, CA 91732-2785
(626) 453-3406
(626) 246-3433
Mailing address
223 E ROWLAND ST, COVINA, CA 91723-3147
(626) 332-3145
(626) 974-4164
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19ZP
—
CA
Enumeration date
09/01/2020
Last updated
03/01/2024
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