Organization · NPI-2

American Drug Recovery Program INC.

Community/Behavioral Health · Gardena, CA

NPI number1568709103
StatusActive
Last updated in NPPESJan 15, 2013

Details

NPI
1568709103
Entity type
Organization (NPI-2)
Legal business name
American Drug Recovery Program INC.
Organization subpart
No
Enumeration date
Jan 15, 2013
Last updated
Jan 15, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health190530APCAYes

Practice location

1618 W 184th St
Gardena, CA 90248-3803

Phone 323-759-3464 · Fax 323-759-3427

Mailing address

2724 W Florence Ave
Los Angeles, CA 90043-5143

Phone 323-759-3464 · Fax 323-759-3427

Authorized official

Ehigimetor Inegbenoise
Executive Director
3237593464

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