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Organization

ALL PEOPLES

Active
Parent organization
DIXON RECOVERY INSTITUTE, INC.
Organization subpart
Yes

Provider details

NPI number
Legal business name
DIXON RECOVERY INSTITUTE, INC.
Authorized official
MS. RONDA RENEE DIXON JD (EXECUTIVE DIRECTOR)
(323) 988-3744
Entity
Organization

Contact information

Practice address
822 E. 20TH STREET, LOS ANGELES, CA 90012
(213) 747-6406
Mailing address
4715 CRENSHAW BLVD, LOS ANGELES, CA 90043-1233
(323) 988-3744

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
190622AN
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
197336
CA
Enumeration date
03/27/2012
Last updated
03/27/2012
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