Organization
LOS ANGELES COUNTY OUTPATIENT PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK COLE CERTIFY COUNSELOR (DRUG COUNSELOR)
(323) 397-9796
Entity
Organization
Contact information
Practice address
2680 SATURN AVE. 180, HUNTINGTON PARK, CA 90255
(323) 397-9796
Mailing address
2680 SATURN AVE STE 180, HUNTINGTON PARK, CA 90255-4568
(323) 397-9796
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
07/08/2011
Last updated
07/08/2011
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