person
Roccoya Octavia Edwards
Substance Abuse Rehabilitation Facility in Los Angeles, California
NPI 1750074886

Roccoya Octavia Edwards is a Substance Abuse Rehabilitation Facility based in Los Angeles, CA. Roccoya Octavia Edwards practices in Los Angeles, CA. The NPI Number for Roccoya Octavia Edwards is 1750074886 and holds a License No. (California).

The current practice location address for Roccoya Octavia Edwards is 12021 Wilmington Ave Ste 102, Los Angeles, CA and can be reached out via phone at 424-454-6001.

Location: 12021 Wilmington Ave Ste 102, Los Angeles, CA, 90059-3019
person
Provider Profile Details
NPI Number
1750074886
Provider Name
Roccoya Octavia Edwards
Credential
Provider Entity Type
Individual
Gender
Female
Address
12021 Wilmington Ave Ste 102, Los Angeles, CA, 90059-3019
Phone Number
424-454-6001
Fax Number
Provider Enumeration Date
06/02/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12021 Wilmington Ave Ste 102
City
State
Zip
90059-3019
Phone Number
424-454-6001
Fax Number
person
Provider Business Mailing Address Details
Address
12021 Wilmington Ave Ste 102
City
State
Zip
90059-3019
Phone Number
424-454-6001
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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