Organization · Type 2 NPI
Elysium Outpatient
Substance Use Disorder Rehabilitation Clinic/Center · Los Angeles, CA
NPI number
1750974218
Active
Practice location
10340 Santa Monica Blvd
Los Angeles, CA 90025-6904
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | None listed |
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | None listed |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
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About NPI 1750974218
Elysium Outpatient's National Provider Identifier is 1750974218, issued on Feb 16, 2021. 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 Feb 16, 2021.