Organization
ROOTS, INC.
Active
Other names
Roots through Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
SETH BLACKBURN (PRESIDENT)
(562) 473-0827
Entity
Organization
Contact information
Practice address
3939 ATLANTIC AVE, SUITE 102, LONG BEACH, CA 90807-3536
(562) 473-0827
Mailing address
3939 ATLANTIC AVE, SUITE 102, LONG BEACH, CA 90807-3536
(562) 473-0827
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
09/16/2013
Last updated
01/03/2021
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