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FRED BROWN'S RECOVERY SERVICES INC. NPI 1104257369


NPI Information

NPI: 1104257369
Provider Name: FRED BROWN'S RECOVERY SERVICES, INC.

Doing Business As: FRED BROWN RECOVERY SERVICES

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
270 W 14TH ST # 3
SAN PEDRO, CA
ZIP 90731
Phone: (310) 519-8723
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FRED BROWN'S RECOVERY SERVICES, INC. is a rehabilitation and substance use disorder clinic center in San Pedro, CA. FRED BROWN'S RECOVERY SERVICES, INC. NPI is 1104257369. The provider is registered as an organization entity type.
The provider Is Doing Business As Fred Brown Recovery Services.

The provider's business location address is:

270 W 14TH ST # 3
SAN PEDRO, CA
ZIP 90731-315
Phone: (310) 519-8723
Fax: (310) 519-9428

The provider's authorized official is Roxanna Natale-brown .
The authorized official title is Executive Director and has the following contact phone number (310) 519-8723.

The enumeration date for this NPI number is 12/12/2013 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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0405XClinic/CenterRehabilitation, Substance Use Disorder190135MNCALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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