PENN SHELTON

LOS ANGELES, CA
NPI1861033664
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-10-02
Last Update Date2019-10-02
Business Address
PENN SHELTON CADC-II -Aii05369031
8831 VENICE BLVD
LOS ANGELES, CA 90034-3223
Phone number: 310-204-5200
Mailing Address
PENN SHELTON CADC-II -Aii05369031
8831 VENICE BLVD
LOS ANGELES, CA 90034-3223
Phone number: 310-204-5200
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