| Cristian Center Manor Alcohol And Drug Behavior Center | |
|
8721 S Broadway Los Angeles CA 90003-3321 | |
| (323) 752-3700 | |
| Not Available |
| Full Name | Cristian Center Manor Alcohol And Drug Behavior Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8721 S Broadway, Los Angeles, California |
| Authorized Official Name and Position | Will Thomas Washington (PRESIDENT) |
| Authorized Official Contact | 3237513896 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cristian Center Manor Alcohol And Drug Behavior Center 8721 S Broadway Los Angeles CA 90003-3321 Ph: (323) 752-3700 | Cristian Center Manor Alcohol And Drug Behavior Center 8721 S Broadway Los Angeles CA 90003-3321 Ph: (323) 752-3700 |
| NPI Number | 1790974798 |
|---|---|
| Provider Enumeration Date | 10/16/2007 |
| Last Update Date | 10/17/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790974798 | NPI | - | NPPES |
| 190445AN | Other | CA | STATE CA, (AOD) ID # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 109445AN (California) | Primary |
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