Organization
DIVINE REHABILITATION, EDUCATION, & HOUSING NETWORK
Active
Other names
Crossroads Recovery Centers
Organization subpart
No
Provider details
NPI number
Authorized official
EDGAR VILLA LCSW (CEO)
(844) 276-7773
Entity
Organization
Contact information
Practice address
11503 GLADHILL RD, WHITTIER, CA 90604-3202
(562) 947-3653
(562) 393-4442
Mailing address
402 E LA HABRA BLVD, LA HABRA, CA 90631-5525
(844) 276-7773
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
05/07/2014
Last updated
05/25/2019
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