FRED BROWN'S RECOVERY SERVICES INC. NPI 1033733811

NPI Information

FRED BROWN'S RECOVERY SERVICES, INC. is a substance abuse rehabilitation facility in San Pedro, CA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. FRED BROWN'S RECOVERY SERVICES, INC. NPI is 1033733811. The provider is registered as an organization entity type.

The provider's business location address is:

356 W 13TH ST
SAN PEDRO, CA
ZIP 90731-210
Phone: (310) 519-8723
Fax: (310) 519-1309

The provider's authorized official is Angelita Fernando .
The authorized official title is Administrative Manager and has the following contact phone number (310) 519-8723.

The CLIA number assigned to this NPI record is 05D2125649 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/8/2020 and was last updated on 3/8/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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