| American Drug Recovery Program, Inc | |
|
5939 Hollywood Blvd Los Angeles CA 90028-5409 | |
| (323) 759-3464 | |
| (323) 759-3427 |
| Full Name | American Drug Recovery Program, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5939 Hollywood Blvd, Los Angeles, 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 5939 Hollywood Blvd Los Angeles CA 90028-5409 Ph: (323) 759-3464 |
| NPI Number | 1992143903 |
|---|---|
| Provider Enumeration Date | 06/12/2013 |
| Last Update Date | 06/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992143903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 190530AP (California) | Primary |
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