NPI | 1073168142 |
---|---|
Doing Business As | RED DOOR LIFE |
Entity Type | Organization |
Authorized Contact | ALEXANDER DAVID SHOHET Managing Director 323-899-9115 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2019-08-06 |
Last Update Date | 2024-06-17 |