1775 SUMMITRIDGE DRIVE LLC NPI 1356659023

NPI Information

1775 SUMMITRIDGE DRIVE, LLC is a substance abuse rehabilitation facility in Beverly Hills, 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. 1775 SUMMITRIDGE DRIVE, LLC NPI is 1356659023. The provider is registered as an organization entity type.
The provider Is Doing Business As One80 Center.

The provider's business location address is:

1775 SUMMITRIDGE DR
BEVERLY HILLS, CA
ZIP 90210-607
Phone: (888) 588-4180
Fax: (888) 588-4080

The provider's authorized official is Alexander David Shohet .
The authorized official title is Ceo and has the following contact phone number (888) 588-4180.

The enumeration date for this NPI number is 9/15/2010 and was last updated on 1/20/2011.

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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