Organization · NPI-2

Bridges To Recovery III

Community Based Residential Treatment Facility, Mental Illness · Los Angeles, CA

NPI number1396014544
StatusActive
Last updated in NPPESDec 16, 2011

Details

NPI
1396014544
Entity type
Organization (NPI-2)
Legal business name
Bridges To Recovery III
Organization subpart
Yes
Enumeration date
Dec 16, 2011
Last updated
Dec 16, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
320800000X Community Based Residential Treatment Facility, Mental Illness198601411CAYes

Practice location

777 Sarbonne Rd
Los Angeles, CA 90077-3320

Phone 310-459-0613 · Fax 310-573-7092

Mailing address

1460 San Remo Dr.
Pacific Palisades, CA 90272

Phone 310-459-0613 · Fax 310-573-7092

Authorized official

Frederik Vilhelm Schulin
Administrator
3104590613

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