| Los Angeles Drug Treatment Center | |
|
3211 West Imperial Hwy Same As Mailing Address Inglewood CA 90303 | |
| (310) 419-9616 | |
| (310) 419-9617 |
| Full Name | Los Angeles Drug Treatment Center |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 3211 West Imperial Hwy, Inglewood, California |
| Authorized Official Name and Position | Samuel A Adeleye (PRESIDENT) |
| Authorized Official Contact | 3104199616 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Los Angeles Drug Treatment Center 3211 West Imperial Hwy Inglewood CA 90303 Ph: (310) 419-9616 | Los Angeles Drug Treatment Center 3211 West Imperial Hwy Same As Mailing Address Inglewood CA 90303 Ph: (310) 419-9616 |
| NPI Number | 1942407960 |
|---|---|
| Provider Enumeration Date | 07/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942407960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 190561AP (California) | Primary |
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