LARRY MAXWELL

LOS ANGELES, CA
NPI1336687821
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy324500000X Substance Abuse Rehabilitation Facility
(Licence: CA  R1236821116)
Enumeration Date2017-02-06
Last Update Date2017-02-06
Business Address
-- LARRY MAXWELL
4445 BURNS AVE
LOS ANGELES, CA 90029-2702
Phone number: 323-664-8940
Mailing Address
-- LARRY MAXWELL
4445 BURNS AVE
LOS ANGELES, CA 90029
Phone number: 323-664-8940
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