Organization · Type 2 NPI

Genesis Rehabilitation Center, LLC

Substance Abuse Rehabilitation Facility · Los Angeles, CA

NPI number 1023526209 Active

Practice location

3440 Wilshire Blvd Ste 909
Los Angeles, CA 90010-2101

Fax (213) 739-9983

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X190039AP (CA)
Substance Abuse Rehabilitation Facility Primary 324500000XNone listed

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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About NPI 1023526209

Genesis Rehabilitation Center, LLC's National Provider Identifier is 1023526209, issued on Jan 22, 2018. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Los Angeles, CA. The record was last updated on Oct 10, 2018.