PACIFIC RECOVERY SOLUTIONS NPI 1417432071

NPI Information

PACIFIC RECOVERY SOLUTIONS 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. PACIFIC RECOVERY SOLUTIONS NPI is 1417432071. The provider is registered as an organization entity type.
The provider Other Name Is 3235 Hillock Drive.

The provider's business location address is:

3235 HILLOCK DR
LOS ANGELES, CA
ZIP 90068-427
Phone: (323) 745-0074

The provider's authorized official is Bradley Athens .
The authorized official title is Cbo and has the following contact phone number (918) 804-7684.

The CLIA number assigned to this NPI record is 05D2133474 - other - residential treatment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/30/2018 and was last updated on 11/3/2019.

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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