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1346636537
LOS ANGELES DETOX LLC
LOS ANGELES, CA
NPI
1346636537
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Entity Type
Organization
Authorized Contact
KEITH RONALD FOWLER
CEO
562-912-0291
Organization Subpart ?
No
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
Enumeration Date
2015-04-14
Last Update Date
2015-04-14
Business Address
LOS ANGELES DETOX LLC
522 N LARCHMONT BLVD
LOS ANGELES, CA 90004-1306
Phone number: 562-912-0291
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Mailing Address
LOS ANGELES DETOX LLC
516 N LARCHMONT BLVD
LOS ANGELES, CA 90004-1306
Phone number: 562-912-0291
Copy
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