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1780253112
1741 HAUSER BLVD DETOX LLC
LOS ANGELES, CA
NPI
1780253112
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Entity Type
Organization
Authorized Contact
DANIEL KEANE
COO
424-229-2061
Organization Subpart ?
No
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
Enumeration Date
2021-06-21
Last Update Date
2023-05-11
Business Address
1741 HAUSER BLVD DETOX LLC
1741 HAUSER BLVD
LOS ANGELES, CA 90019-5111
Phone number: 828-367-8727
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Mailing Address
1741 HAUSER BLVD DETOX LLC
1741 HAUSER BLVD
LOS ANGELES, CA 90019-5111
Phone number: 424-229-2061
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