Organization
DRAGONFLY HOLDING LLC
Active
Other names
Clear Mind Treatment
Organization subpart
No
Provider details
NPI number
Authorized official
RISHI KHATRI (ADMINISTRATOR)
(310) 571-5957
Entity
Organization
Contact information
Practice address
4201 TORRANCE BLVD STE 720, TORRANCE, CA 90503-4506
(310) 571-5957
Mailing address
4201 TORRANCE BLVD STE 720, TORRANCE, CA 90503-4506
(310) 571-5957
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
12/11/2018
Last updated
10/05/2023
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