Organization
DESTINATIONS TO RECOVERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL ALON SAMSON (FOUNDER/PRESIDENT)
(818) 737-2221
Entity
Organization
Contact information
Practice address
9089 S PECOS RD, SUITE 3500, HENDERSON, NV 89074-7183
(818) 737-2221
(818) 737-2222
Mailing address
21051 WARNER CENTER LN, SUITE 220, WOODLAND HILLS, CA 91367-6551
(818) 737-2221
(818) 737-2222
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
NV20161133893
NV
Other
Enumeration date
07/12/2016
Last updated
07/12/2016
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