| Kimbo Drug & Alcohol Rehabilitation Services | |
|
407 N Avalon Blvd Wilmington CA 90744-5803 | |
| (310) 549-5532 | |
| Not Available |
| Full Name | Kimbo Drug & Alcohol Rehabilitation Services |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 407 N Avalon Blvd, Wilmington, California |
| Authorized Official Name and Position | Kester Jackson Oudney (PROGRAM DIRECTOR) |
| Authorized Official Contact | 3105495532 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kimbo Drug & Alcohol Rehabilitation Services 407 N Avalon Blvd Wilmington CA 90744-5803 Ph: (310) 549-5532 | Kimbo Drug & Alcohol Rehabilitation Services 407 N Avalon Blvd Wilmington CA 90744-5803 Ph: (310) 549-5532 |
| NPI Number | 1760665582 |
|---|---|
| Provider Enumeration Date | 12/14/2007 |
| Last Update Date | 12/14/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760665582 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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