NPI | 1912037797 |
---|---|
Doing Business As | INGLEWOOD COMMUNITY RECOVERY CENTER |
Entity Type | Organization |
Authorized Contact | TERI CANNON Executive Vice President 310-679-9126 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: CA 190007BN) |
Enumeration Date | 2007-03-07 |
Last Update Date | 2020-08-22 |