| American Drug Recovery Program, Inc. | |
|
21828 Avalon Blvd Carson CA 90745-3303 | |
| (323) 759-3464 | |
| (323) 759-3427 |
| Full Name | American Drug Recovery Program, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 21828 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, Inc. 2724 W Florence Ave Los Angeles CA 90043-5143 Ph: (323) 759-3464 | American Drug Recovery Program, Inc. 21828 Avalon Blvd Carson CA 90745-3303 Ph: (323) 759-3464 |
| NPI Number | 1437402203 |
|---|---|
| Provider Enumeration Date | 10/18/2012 |
| Last Update Date | 10/18/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437402203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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