Organization · Type 2 NPI

Lavelle Youth Homes

Substance Use Disorder Rehabilitation Clinic/Center · Los Angeles, CA

NPI number 1497054761 Active

Practice location

4000 W Slauson Ave
Los Angeles, CA 90043-2804

Mailing address

8415 S Western Ave
Los Angeles, CA 90047-3044

Specialties and licenses

TaxonomyCodeLicense
Substance Use Disorder Rehabilitation Clinic/Center Primary 261QR0405XNone listed

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About NPI 1497054761

Lavelle Youth Homes's National Provider Identifier is 1497054761, issued on Mar 25, 2011. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Los Angeles, CA. The record was last updated on Mar 25, 2011.