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Mr. Jimmy Lee Gaffeney JR.
Substance Abuse Rehabilitation Facility in Los Angeles, California
NPI 1588391346

Jimmy Lee Gaffeney JR. is a Substance Abuse Rehabilitation Facility based in Los Angeles, CA. Jimmy Lee Gaffeney JR. practices in Los Angeles, CA. The NPI Number for Jimmy Lee Gaffeney JR. is 1588391346 and holds a License No. (California).

The current practice location address for Jimmy Lee Gaffeney JR. is 5318 Crenshaw Blvd, Los Angeles, CA and can be reached out via phone at 323-293-6291 and via fax at 323-293-1091.

Location: 5318 Crenshaw Blvd, Los Angeles, CA, 90043-1810
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588391346
Provider Name
Jimmy Lee Gaffeney JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
5318 Crenshaw Blvd, Los Angeles, CA, 90043-1810
Phone Number
323-293-6291
Fax Number
323-293-1091
Provider Enumeration Date
08/02/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5318 Crenshaw Blvd
City
Los Angeles
State
California
Zip
90043-1810
Phone Number
323-293-6291
Fax Number
323-293-1091
person
Provider Business Mailing Address Details
Address
5318 Crenshaw Blvd
City
Los Angeles
State
California
Zip
90043-1810
Phone Number
323-293-6291
Fax Number
323-293-1091
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
(California)
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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