Terecor Foundation's Substance Abuse Program | |
544 W Rosecrans Ave Compton CA 90222-3944 | |
(310) 639-0107 | |
(310) 639-0119 |
Full Name | Terecor Foundation's Substance Abuse Program |
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Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 544 W Rosecrans Ave, Compton, California |
Authorized Official Name and Position | J.d. (nmn) Reed, (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 3106390107 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Terecor Foundation's Substance Abuse Program 544 W Rosecrans Ave P.o. Box 5245 Compton CA 90222-3944 Ph: (310) 639-0107 | Terecor Foundation's Substance Abuse Program 544 W Rosecrans Ave Compton CA 90222-3944 Ph: (310) 639-0107 |
NPI Number | 1700900594 |
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Provider Enumeration Date | 03/18/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700900594 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 190466AOD (California) | Primary |
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