Organization
DESTINATIONS TO RECOVERY LLC
Active
Other names
Destinations to Recovery (canon)
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL SAMSON (PRESIDENT)
(818) 737-2221
Entity
Organization
Contact information
Practice address
22029 CANON DRIVE, TOPANGA, CA 90290
(818) 737-2221
(818) 737-2222
Mailing address
21051 WARNER CENTER LANE, SUITE 220, WOODLAND HILLS, CA 91367-6592
(818) 737-2221
(818) 737-2222
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
197608637
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
197608637
GROUP HOME
CA
Enumeration date
01/24/2014
Last updated
03/04/2016
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