Organization · Type 2 NPI

Dixon Recovery Institute, Inc.

Addiction (Substance Use Disorder) Counselor · Los Angeles, CA

NPI number 1780814640 Active

Practice location

4066 W 17th St, Module #1 & 2
Los Angeles, CA 90019-6025

Call (323) 988-3744 Map

Mailing address

4715 Crenshaw Blvd
Los Angeles, CA 90043-1233

Specialties and licenses

Taxonomy	Code	License
Addiction (Substance Use Disorder) Counselor Primary	101YA0400X	190622AN (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

Another provider at this address

R.i.g.h.t. ProgramCommunity/Behavioral Health Agency Los Angeles, CA NPI 1225329048

Other addiction (substance use disorder) counselor providers in Los Angeles

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NPI record

NPI: 1780814640
Entity type: Organization (Type 2)
Issued: Jul 24, 2009
Last updated: May 7, 2012
Status: Active
Subpart: Yes of Dixon Recovery Institute, Inc.

Other names

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Central High School's Sojourner Truth Classroom · other name

Authorized official

Ronda Dixon, JD
Executive Director
(323) 988-3744

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1780814640

Dixon Recovery Institute, Inc.'s National Provider Identifier is 1780814640, issued on Jul 24, 2009. 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 May 7, 2012.