| Beit T'shuvah | |
|
8831 Venice Blvd Los Angeles CA 90034-3223 | |
| (310) 204-5200 | |
| (310) 838-3545 |
| Full Name | Beit T'shuvah |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 8831 Venice Blvd, Los Angeles, California |
| Authorized Official Name and Position | Sergio Rizzo-fontanesi (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3102045200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beit T'shuvah 8831 Venice Blvd Los Angeles CA 90034-3223 Ph: (310) 204-5200 | Beit T'shuvah 8831 Venice Blvd Los Angeles CA 90034-3223 Ph: (310) 204-5200 |
| NPI Number | 1396926754 |
|---|---|
| Provider Enumeration Date | 11/14/2007 |
| Last Update Date | 08/18/2020 |
| Certification Date | 08/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396926754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 190326AN (California) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | 190326AN (California) | Primary |
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