ANGEL WINGS RECOVERY OF SOUTH BAY NPI 1215387667

NPI Information

ANGEL WINGS RECOVERY OF SOUTH BAY is a substance abuse rehabilitation facility in Hawthorne, 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. ANGEL WINGS RECOVERY OF SOUTH BAY NPI is 1215387667. The provider is registered as an organization entity type.

The provider's business location address is:

3841 W 130TH ST
HAWTHORNE, CA
ZIP 90250-311
Phone: (310) 863-7446

The provider's authorized official is Phil Cookes .
The authorized official title is Ceo and has the following contact phone number (310) 863-7446.

The enumeration date for this NPI number is 6/16/2016 and was last updated on 6/16/2016.

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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