institution
Immaculate Care Center Inc
Addiction (Substance Use Disorder) Counselor in Los Angeles, California
NPI 1275669871

Immaculate Care Center Inc is an Addiction (Substance Use Disorder) Counselor based in Los Angeles, CA and is specialized in Addiction (Substance Use Disorder). Immaculate Care Center Inc practices in Los Angeles, CA. The NPI Number for Immaculate Care Center Inc is 1275669871 and holds a License No. 190479AN (California).

The current practice location address for Immaculate Care Center Inc is 3540 Wilshire Blvd, Los Angeles, CA and can be reached out via phone at 213-383-1124 and via fax at 213-383-0261.

Location: 3540 Wilshire Blvd, Los Angeles, CA, 90010-2307
institution
Provider Profile Details
NPI Number
1275669871
Provider Name
Immaculate Care Center Inc
Credential
Provider Entity Type
Organization
Address
3540 Wilshire Blvd, Los Angeles, CA, 90010-2307
Phone Number
213-383-1124
Fax Number
213-383-0261
Provider Enumeration Date
02/26/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
190479AN 01 CA ADP
institution
Provider Business Practice Location Address Details
Address
3540 Wilshire Blvd
City
State
Zip
90010-2307
Phone Number
213-383-1124
Fax Number
213-383-0261
person
Provider Business Mailing Address Details
Address
3540 Wilshire Blvd
City
State
Zip
90010-2307
Phone Number
213-383-1124
Fax Number
213-383-0261
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
190479AN (California)
Definition
Definition to come...
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