NPI | 1679857775 |
---|---|
Other Name | SUMMIT ESTATE OUTPATIENT |
Doing Business As | SUMMIT ESTATE RECOVERY CENTER |
Doing Business As | SUMMIT ESTATE |
Former Legal Business Name | SUMMIT ESTATE INC |
Entity Type | Organization |
Authorized Contact | SERGEI VIDOV CEO 310-498-3626 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 440017ap) |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2011-10-06 |
Last Update Date | 2024-02-05 |