Organization
MOMENTUM KOKOMO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATARINA SVENSSON (MANAGER)
(310) 741-7199
Entity
Organization
Contact information
Practice address
1236 N. WABASH AVE, KOKOMO, IN 46901
(310) 741-7199
Mailing address
6060 W MANCHESTER AVE STE 304, LOS ANGELES, CA 90045-4267
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
10/23/2020
Last updated
10/23/2020
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