Organization
GOLDWING RECOVERY CO.
Active
Other names
Goldwing Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AARON CRAWFORD (AGENT)
(818) 305-4147
Entity
Organization
Contact information
Practice address
14942 HAMLIN ST, VAN NUYS, CA 91411-1406
(832) 312-9611
Mailing address
3031 N SAN FERNANDO BLVD STE 100, BURBANK, CA 91504-4704
(832) 312-9611
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
03/20/2018
Last updated
07/17/2019
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