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Bespoke Treatment Llc
Substance Use Disorder Rehabilitation Clinic/Center in Los Angeles, California
NPI 1366052391

Bespoke Treatment Llc is a Substance Use Disorder Rehabilitation Clinic/Center based in Los Angeles, CA and is specialized in Rehabilitation, Substance Use Disorder. Bespoke Treatment Llc practices in Los Angeles, CA. The NPI Number for Bespoke Treatment Llc is 1366052391 and holds a License No. (California).

The current practice location address for Bespoke Treatment Llc is 12381 Wilshire Blvd Ste 205, Los Angeles, CA and can be reached out via phone at 833-867-2329.

Location: 12381 Wilshire Blvd Ste 205, Los Angeles, CA, 90025-1063
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366052391
Provider Name
Bespoke Treatment Llc
Credential
Provider Entity Type
Organization
Address
12381 Wilshire Blvd Ste 205, Los Angeles, CA, 90025-1063
Phone Number
833-867-2329
Fax Number
Provider Enumeration Date
08/04/2020
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
12381 Wilshire Blvd Ste 205
City
Los Angeles
State
California
Zip
90025-1063
Phone Number
833-867-2329
Fax Number
person
Provider Business Mailing Address Details
Address
12381 Wilshire Blvd Ste 205
City
Los Angeles
State
California
Zip
90025-1063
Phone Number
833-867-2329
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
()
Definition
Definition to come...
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