Organization
DESTINATIONS TO RECOVERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL ALON SAMSON (FOUNDER/PRESIDENT)
(818) 737-2221
Entity
Organization
Contact information
Practice address
6222 WILSHIRE BLVD, SUITE 313, LOS ANGELES, CA 90048-5123
(818) 737-2221
(818) 737-2222
Mailing address
21051 WARNER CENTER LN, SUITE 220, WOODLAND HILLS, CA 91367-6551
(818) 737-2221
(818) 737-2222
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
190842BP
CA
Other
Enumeration date
10/31/2016
Last updated
10/31/2016
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