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Organization

ETERNAL PURPOSE RECOVERY CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL CIOFFI (CEO)
(732) 610-0878
Entity
Organization

Contact information

Practice address
5817 CLEON AVE, NORTH HOLLYWOOD, CA 91601-1426
(704) 450-2117
Mailing address
5817 CLEON AVE, NORTH HOLLYWOOD, CA 91601-1426
(704) 450-2117

Taxonomy

Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
324500000X
Substance Abuse Rehabilitation Facility
Primary

Other

Enumeration date
05/19/2021
Last updated
01/30/2023
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