LA FUENTE HOLLYWOOD TREATMENT CENTER LLC is a substance abuse rehabilitation facility in Los Angeles, 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. LA FUENTE HOLLYWOOD TREATMENT CENTER LLC NPI is 1083101661. The provider is registered as an organization entity type.
The provider Is Doing Business As La Fuente Hollywood Treatment Center Outpatient.
The provider's business location address is:
1601 N GOWER ST # 101
LOS ANGELES, CA
ZIP 90028-596
Phone: (323) 464-2947
The provider's authorized official is Manuel Rodriguez .
The authorized official title is Ceo and has the following contact phone number (323) 464-2947.
The CLIA number assigned to this NPI record is 05D2064248 - other - drug alcohol treatment ct with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/18/2018 and was last updated on 4/18/2018.