Organization · Type 2 NPI
Klean W. Hollywood
Substance Abuse Rehabilitation Facility · West Hollywood, CA
NPI number
1891093563
Active
Practice location
840 Hilldale Ave
West Hollywood, CA 90069-4940
Mailing address
8543 Santa Monica Blvd
West Hollywood, CA 90069-4150
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | 190692BP (CA) |
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 1891093563
Klean W. Hollywood's National Provider Identifier is 1891093563, issued on Mar 4, 2011. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in West Hollywood, CA. The record was last updated on Mar 4, 2011.