Individual provider · Type 1 NPI

Conga Smith

Substance Abuse Rehabilitation Facility · Los Angeles, CA

NPI number 1487108916 Active

Practice location

4026 6th Ave
Los Angeles, CA 90008-2733

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 1487108916

Conga Smith's National Provider Identifier is 1487108916, issued on Aug 13, 2016. 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 Aug 13, 2016.