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1306488895
CRYSTAL RIVERS
LOS ANGELES, CA
NPI
1306488895
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-10-16
Last Update Date
2019-10-16
Business Address
CRYSTAL RIVERS
8005 S FIGUEROA ST
LOS ANGELES, CA 90003-2720
Phone number: 323-568-5400
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Mailing Address
CRYSTAL RIVERS
8005 S FIGUEROA ST
LOS ANGELES, CA 90003-2720
Phone number: 323-568-5400
Copy
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