Organization
BLESSED DRUG&ALCOHOL TREATMENT AND RESEARCH PROGRAM INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOSES UGOCHUKWU ANUSIEM (CEO)
(323) 971-1325
Entity
Organization
Contact information
Practice address
8407 S VERMONT AVE, LOS ANGELES, CA 90044-3423
(323) 971-1325
(323) 971-1365
Mailing address
8407 S VERMONT AVE, LOS ANGELES, CA 90044-3423
(323) 971-1325
(323) 971-1365
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
190402AP
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7064
—
CA
Enumeration date
02/20/2007
Last updated
08/22/2020
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