Organization
CRISTIAN CENTER MANOR ALCOHOL AND DRUG BEHAVIOR CENTER
Active
Organization
CRISTIAN CENTER MANOR ALCOHOL AND DRUG BEHAVIOR CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILL THOMAS WASHINGTON (PRESIDENT)
(323) 751-3896
Entity
Organization
Contact information
Practice address
8721 S BROADWAY, LOS ANGELES, CA 90003-3321
(323) 752-3700
Mailing address
8721 S BROADWAY, LOS ANGELES, CA 90003-3321
(323) 752-3700
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
109445AN
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
190445AN
STATE CA, (AOD) ID #
CA
Enumeration date
10/16/2007
Last updated
10/17/2007
Update your record
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