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ABLE FAMILY SUPPORT NPI 1770854390


NPI Information

NPI: 1770854390
Provider Name: ABLE FAMILY SUPPORT
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
904 E. KING BLVD.
LOS ANGELES, CA
ZIP 90011
Phone: (310) 500-8902
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ABLE FAMILY SUPPORT 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. ABLE FAMILY SUPPORT NPI is 1770854390. The provider is registered as an organization entity type.

The provider's business location address is:

904 E. KING BLVD.
LOS ANGELES, CA
ZIP 90011
Phone: (310) 500-8902

The provider's authorized official is Alexander Ferdman .
The authorized official title is Executive Director and has the following contact phone number (310) 500-8902.

The enumeration date for this NPI number is 1/13/2012 and was last updated on 1/13/2012.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation FacilityYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
117980801944OTHERCALIFORNIADRUG MEDI-CAL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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