Organization · Type 2 NPI

Circle of Life Outpatient, Inc.

Substance Abuse Rehabilitation Facility · Los Angeles, CA

NPI number 1033511548 Active

Practice location

715 N Ridgewood Pl
Los Angeles, CA 90038-3105

Mailing address

2420 Hercules Dr
Los Angeles, CA 90046-1634

Specialties and licenses

TaxonomyCodeLicense
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 1033511548

Circle of Life Outpatient, Inc.'s National Provider Identifier is 1033511548, issued on Sep 16, 2014. 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 Sep 16, 2014.