Bridges To Recovery Iiii

NPI 1093152076 - Community Based Residential Treatment Facility, Mental Illness - 320800000X

NPI Details
NPI 1093152076
Enumeration Date 05/30/2013
Last Updated 05/30/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name FREDERIK VILHELM FREDERIK
Position ADMINISTRATOR
Phone (310) 459-0613
Fax (310) 573-7092
Practice Location
10201 CHARING CROSS RD
LOS ANGELES CA, 90024-1814, US
Phone (310) 459-0613
Fax (310) 573-7092
Business Location
PO BOX 1493
PACIFIC PALISADES CA, 90272-1493, US
Phone (310) 459-0613
Fax (310) 573-7092
Toxanomy
Taxonomy Code 320800000X
License State California
License Number MHBS130185
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According to our database, Bridges To Recovery Iiii NPI is 1093152076, taxonomy code is 320800000X and license number is MHBS130185, license state is located at California. Bridges To Recovery Iiii physically located at 10201 Charing Cross Rd, Los Angeles CA, 90024-1814. NPI Number 1033115704 has the healthcare provider type.

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1093152076 NPI number is provided on an as is basis without warranty of any kind. 1093152076 is maintained by the National Plan & Provider Enumeration System. The contents of Bridges To Recovery Iiii are for informational purposes only.