ORIGINS TREATMENT CENTER LLC NPI 1528625662

NPI Information

ORIGINS TREATMENT CENTER, LLC is a rehabilitation and substance use disorder clinic center in Los Angeles, CA. ORIGINS TREATMENT CENTER, LLC NPI is 1528625662. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Create Recovery Center, Llc.

The provider's business location address is:

5300 BEETHOVEN ST
LOS ANGELES, CA
ZIP 90066-069
Phone: (310) 927-7532

The provider's authorized official is Garrett Stanford .
The authorized official title is Partner and has the following contact phone number (626) 590-0772.

The enumeration date for this NPI number is 5/23/2019 and was last updated on 9/17/2020.

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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