Organization
JAZ CAPITAL INVESTMENTS LLC
Active
Other names
Rewired Treatment, Westwind Outpatient Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUSTIN WELLS (CEO)
(323) 896-9431
Entity
Organization
Contact information
Practice address
7966 BEVERLY BLVD STE 102, LOS ANGELES, CA 90048-4511
(323) 896-9431
Mailing address
7966 BEVERLY BLVD STE 102, LOS ANGELES, CA 90048-4511
(323) 896-9431
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
190945AP
CA
324500000X
Substance Abuse Rehabilitation Facility
190945AP
CA
Other
Enumeration date
04/12/2017
Last updated
06/14/2019
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