Organization
CHABAD RESIDENTIAL TREATMENT CENTER
Active
Parent organization
CHABAD OF CALIFORNIA
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHABAD OF CALIFORNIA
Authorized official
MS. DONNA LYNN MILLER MFT (CLINICAL DIRECTOR)
(323) 965-1365
Entity
Organization
Contact information
Practice address
5675 W OLYMPIC BLVD, LOS ANGELES, CA 90036-4712
(323) 965-1365
(323) 965-0444
Mailing address
5675 W OLYMPIC BLVD, LOS ANGELES, CA 90036-4712
(323) 965-1365
(323) 965-0444
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
190087CN
CA
Other
Enumeration date
07/14/2009
Last updated
03/31/2016
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