Organization
QUALITY CARE RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TAVACKUS DAWSON RADT (PRESIDENT)
(213) 924-5275
Entity
Organization
Contact information
Practice address
9100 S SEPULVEDA BLVD STE 220, LOS ANGELES, CA 90045-4850
(213) 924-5275
Mailing address
6258 S LA BREA AVE, LOS ANGELES, CA 90056-1913
(213) 924-5275
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
07/05/2022
Last updated
07/05/2022
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