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Organization

ANOTHER CHANCE REHAB

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PETER MILLS (PRESIDENT)
(310) 689-6427
Entity
Organization

Contact information

Practice address
11824 DAPHNE AVE, HAWTHORNE, CA 90250-1987
(310) 689-6427
Mailing address
4030 W 126TH ST, HAWTHORNE, CA 90250-4606
(310) 689-6427

Taxonomy

Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary

Other

Enumeration date
01/16/2008
Last updated
01/16/2008
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