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Mitchlock Foundation
Substance Abuse Rehabilitation Facility in Los Angeles, California
NPI 1285414573

Mitchlock Foundation is a Substance Abuse Rehabilitation Facility based in Los Angeles, CA. Mitchlock Foundation practices in Los Angeles, CA. The NPI Number for Mitchlock Foundation is 1285414573 and holds a License No. (California).

The current practice location address for Mitchlock Foundation is 9061 S Normandie Ave, Los Angeles, CA and can be reached out via phone at 323-251-4116.

Location: 9061 S Normandie Ave, Los Angeles, CA, 90047-4145
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1285414573
Provider Name
Mitchlock Foundation
Credential
Provider Entity Type
Organization
Address
9061 S Normandie Ave, Los Angeles, CA, 90047-4145
Phone Number
323-251-4116
Fax Number
Provider Enumeration Date
10/03/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
9061 S Normandie Ave
City
Los Angeles
State
California
Zip
90044-2051
Phone Number
323-251-4116
Fax Number
person
Provider Business Mailing Address Details
Address
9061 S Normandie Ave
City
Los Angeles
State
California
Zip
90044-2051
Phone Number
323-251-4116
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Lodging
Speciality
-
Taxonomy
177F00000X
License No.
()
Definition
A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Voluntary or Charitable
Speciality
-
Taxonomy
251V00000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
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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