Bridges To Recovery Iiii
Community Based Residential Treatment Facility, Mental Illness in Los Angeles, CA. Organization (NPI-2).
NPI number1093152076
StatusActive
Last updated in NPPESMay 30, 2013
Details
- NPI
- 1093152076
- Entity type
- Organization (NPI-2)
- Legal business name
- Bridges To Recovery Iiii
- Organization subpart
- Yes
- Enumeration date
- May 30, 2013
- Last updated
- May 30, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | MHBS130185 | CA | Yes |
Practice location
10201 Charing Cross RdLos Angeles, CA 90024-1814
Phone 310-459-0613 · Fax 310-573-7092
Mailing address
Po Box 1493Pacific Palisades, CA 90272-1493
Phone 310-459-0613 · Fax 310-573-7092
Authorized official
Frederik Vilhelm Schulin
Administrator
3104590613
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