Organization · NPI-2

310 Recovery

Substance Abuse Rehabilitation Facility · Los Angeles, CA

NPI number1770141764
StatusActive
Last updated in NPPESJun 4, 2019

Details

NPI
1770141764
Entity type
Organization (NPI-2)
Legal business name
310 Recovery
Organization subpart
No
Enumeration date
Jun 4, 2019
Last updated
Jun 4, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
324500000X Substance Abuse Rehabilitation Facility––Yes

Practice location

1741 Hauser Blvd
Los Angeles, CA 90019-5111

Phone 310-935-9849

Mailing address

1741 Hauser Blvd
Los Angeles, CA 90019-5111

Authorized official

Valentin Gasparyan
Manager
8182065695

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