| American Drug Recovery Program | |
|
21805 Avalon Blvd Carson CA 90745-3304 | |
| (310) 625-7598 | |
| Not Available |
| Full Name | American Drug Recovery Program |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 21805 Avalon Blvd, Carson, California |
| Authorized Official Name and Position | Ehigimetor Inegbenoise (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3237593464 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| American Drug Recovery Program 2724 W Florence Ave Los Angeles CA 90043-5143 Ph: (323) 759-3464 | American Drug Recovery Program 21805 Avalon Blvd Carson CA 90745-3304 Ph: (310) 625-7598 |
| NPI Number | 1720334014 |
|---|---|
| Provider Enumeration Date | 07/24/2012 |
| Last Update Date | 07/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720334014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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