Organization
THE DISCOVERY PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MAKIDA JONES (ADMINISTRATOR)
(310) 843-0246
Entity
Organization
Contact information
Practice address
1831 BENECIA AVE, LOS ANGELES, CA 90025-5011
(310) 843-0246
(310) 843-0245
Mailing address
10573 W PICO BLVD, PMB # 82, LOS ANGELES, CA 90064-2333
(310) 843-0246
(310) 843-0245
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
190330AP
CA
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
190330BP
CA
Other
Enumeration date
05/04/2007
Last updated
08/22/2020
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