Organization
KLEAN LONG BEACH, WA LLC.
Active
Other names
Klean Long Beach, WA @ Bellvue
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW SPANSWICK (CEO)
(310) 435-8096
Entity
Organization
Contact information
Practice address
1215 120TH AVE NE STE 201, BELLEVUE, WA 98005-2135
(360) 642-3105
Mailing address
8543 SANTA MONICA BLVD STE 11, WEST HOLLYWOOD, CA 90069-4152
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
10/03/2013
Last updated
03/18/2014
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