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1932721099
MARIPOSA DETOX CENTER LLC
LOS ANGELES, CA
NPI
1932721099
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Entity Type
Organization
Authorized Contact
BRANDAN FREEMAN
CEO
631-245-0911
Organization Subpart ?
No
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
Enumeration Date
2020-05-12
Last Update Date
2020-10-22
Business Address
MARIPOSA DETOX CENTER LLC
832 N MARIPOSA AVE
LOS ANGELES, CA 90029-3405
Phone number: 561-563-6582
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Mailing Address
MARIPOSA DETOX CENTER LLC
832 N MARIPOSA AVE
LOS ANGELES, CA 90029-3405
Phone number: 561-563-6582
Copy
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