Organization · Type 2 NPI
Immaculate Care Center Inc
Addiction (Substance Use Disorder) Counselor · Los Angeles, CA
NPI number
1275669871
Active
Practice location
3540 Wilshire Blvd, Suite 818
Los Angeles, CA 90010-2307
Fax (213) 383-0261
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 190479AN (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1275669871
Immaculate Care Center Inc's National Provider Identifier is 1275669871, issued on Feb 26, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Los Angeles, CA. The record was last updated on Aug 22, 2020.