person
Jasen Mcgoldrick
Substance Abuse Rehabilitation Facility in Los Angeles, California
NPI 1023556610

Jasen Mcgoldrick is a Substance Abuse Rehabilitation Facility based in Los Angeles, CA. Jasen Mcgoldrick practices in Los Angeles, CA. The NPI Number for Jasen Mcgoldrick is 1023556610 and holds a License No. (California).

The current practice location address for Jasen Mcgoldrick is 4445 Burns Ave., Los Angeles, CA and can be reached out via phone at 323-244-8397.

Location: 4445 Burns Ave., Los Angeles, CA, 90029
person
Provider Profile Details
NPI Number
1023556610
Provider Name
Jasen Mcgoldrick
Credential
Provider Entity Type
Individual
Gender
Male
Address
4445 Burns Ave., Los Angeles, CA, 90029
Phone Number
323-244-8397
Fax Number
Provider Enumeration Date
02/03/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4445 Burns Ave.
City
State
Zip
90029
Phone Number
323-244-8397
Fax Number
person
Provider Business Mailing Address Details
Address
4445 Burns Ave.
City
State
Zip
90029
Phone Number
323-244-8397
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
License No.
()
Definition
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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