Organization
BLOOM RECOVERY TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEON TONYAN (OWNER)
(844) 842-5666
Entity
Organization
Contact information
Practice address
4809 LOWELL AVE, LA CRESCENTA, CA 91214-1035
(844) 842-5666
Mailing address
4809 LOWELL AVE, LA CRESCENTA, CA 91214-1035
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
12/27/2016
Last updated
12/27/2016
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