Organization
OPEN HEART RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RODERICK L BROWN (SECRETARY)
(310) 307-9299
Entity
Organization
Contact information
Practice address
4026 6TH AVE, LOS ANGELES, CA 90008-2733
(323) 389-8894
Mailing address
4026 6TH AVE, LOS ANGELES, CA 90008-2733
(323) 389-8894
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
190947AP
CA
Other
Enumeration date
12/18/2016
Last updated
12/18/2016
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