NPI:
1114388840
Provider Name:
CAST CENTERS LLC
Former Legal Business Name: CAST RECOVERY SERVICES OF SANTA MONICA, INC.
Classification:
Clinic/Center - 261QR0405X
Entity Type:
Organization
Specialization: Rehabilitation, Substance Use Disorder
CLIA Number: 05D2123541
Address:
630 N DOHENY DR
WEST HOLLYWOOD, CA
ZIP 90069
Phone:
(310) 873-3935
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CAST CENTERS LLC is a rehabilitation and substance use disorder clinic center in West Hollywood, CA. CAST CENTERS LLC NPI is 1114388840. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Cast Recovery Services Of Santa Monica, Inc..
The provider's business location address is:
630 N DOHENY DR
WEST HOLLYWOOD, CA
ZIP 90069-506
Phone: (310) 873-3935
Fax: (310) 564-1883
The provider's authorized official is Stephanie L. Grayson .
The authorized official title is Executive Director and has the following contact phone number (310) 873-3935.
The CLIA number assigned to this NPI record is 05D2123541 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 3/8/2016 and was last updated on 3/8/2016.