DIXON RECOVERY INSTITUTE INC. NPI 1780814640

NPI Information

DIXON RECOVERY INSTITUTE, INC. is an addiction (substance use disorder) counselor in Los Angeles, CA. DIXON RECOVERY INSTITUTE, INC. NPI is 1780814640. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Central High School's Sojourner Truth Classroom.

The provider's business location address is:

4066 W 17TH ST
MODULE #1 & 2
LOS ANGELES, CA
ZIP 90019-025
Phone: (323) 988-3744

The provider's authorized official is Ronda Dixon .
The authorized official title is Executive Director and has the following contact phone number (323) 988-3744.

The enumeration date for this NPI number is 7/24/2009 and was last updated on 5/7/2012.

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:

Other Identifiers

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

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