Organization
REFUGE RECOVERY HOUSE
Active
Other names
Refuge Recovery Centers
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON FOWLER (PROGRAM DIRECTOR/COFOUNDER)
(323) 787-7077
Entity
Organization
Contact information
Practice address
1007 MANZANITA ST, LOS ANGELES, CA 90029-3011
(323) 787-7077
Mailing address
4302 MELROSE AVE STE 5C, LOS ANGELES, CA 90029-3511
(323) 787-7077
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
190853BP
CA
Other
Enumeration date
11/13/2015
Last updated
11/13/2015
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