Organization
HOLLYWOOD RECOVERY TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN AGUILAR (EXECUTIVE DIRECTOR)
(818) 980-0849
Entity
Organization
Contact information
Practice address
12500 RIVERSIDE DR STE 211, STUDIO CITY, CA 91607-3436
(818) 980-0849
(818) 980-0859
Mailing address
12500 RIVERSIDE DR STE 211, STUDIO CITY, CA 91607-3436
(818) 980-0849
(818) 980-0859
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Enumeration date
07/31/2013
Last updated
07/31/2013
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