Organization · Type 2 NPI
La Fuente Hollywood Treatment Center LLC
Substance Abuse Rehabilitation Facility · Los Angeles, CA
NPI number
1073887329
Active
Practice location
5718 Fountain Ave
Los Angeles, CA 90028-8516
Fax (323) 366-9339
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | 190725AP (CA) |
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 1073887329
La Fuente Hollywood Treatment Center LLC's National Provider Identifier is 1073887329, issued on Mar 5, 2012. 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 Mar 5, 2012.