Individual provider · Type 1 NPI
Lynwood Slipp
Substance Abuse Rehabilitation Facility · Los Angeles, CA
NPI number
1083152409
Active
Practice location
4445 Burns Ave
Los Angeles, CA 90029-2702
Fax (323) 664-1786
Mailing address
810 Beacon Ave
Los Angeles, CA 90017-2114
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | None 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 1083152409
Lynwood Slipp's National Provider Identifier is 1083152409, issued on Feb 6, 2017. 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 Feb 6, 2017.