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Mr. Michael Harvey SR.
Substance Abuse Rehabilitation Facility in Gardena, California
NPI 1881149623

Michael Harvey SR. is a Substance Abuse Rehabilitation Facility based in Gardena, CA. Michael Harvey SR. practices in Gardena, CA. The NPI Number for Michael Harvey SR. is 1881149623 and holds a License No. H1204261229 (California).

The current practice location address for Michael Harvey SR. is 15519 Crenshaw Blvd, Gardena, CA and can be reached out via phone at 310-679-9126 and via fax at 310-679-2920.

Location: 15519 Crenshaw Blvd, Gardena, CA, 90249-4525
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881149623
Provider Name
Michael Harvey SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
15519 Crenshaw Blvd, Gardena, CA, 90249-4525
Phone Number
310-679-9126
Fax Number
310-679-2920
Provider Enumeration Date
08/22/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
15519 Crenshaw Blvd
City
Gardena
State
California
Zip
90249-4525
Phone Number
310-679-9126
Fax Number
310-679-2920
person
Provider Business Mailing Address Details
Address
15519 Crenshaw Blvd
City
Gardena
State
California
Zip
90249-4525
Phone Number
310-679-9126
Fax Number
310-679-2920
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
H1204261229 (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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