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Interconnection Center Inc.
Substance Abuse Rehabilitation Facility in Los Angeles, California
NPI 1902024276

Interconnection Center Inc. is a Substance Abuse Rehabilitation Facility based in Los Angeles, CA. Interconnection Center Inc. practices in Los Angeles, CA. The NPI Number for Interconnection Center Inc. is 1902024276 and holds a License No. 190383AN (California).

The current practice location address for Interconnection Center Inc. is 3833 S Grand Ave, Los Angeles, CA and can be reached out via phone at 213-747-4626.

Location: 3833 S Grand Ave, Los Angeles, CA, 90037-1311
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902024276
Provider Name
Interconnection Center Inc.
Credential
Provider Entity Type
Organization
Address
3833 S Grand Ave, Los Angeles, CA, 90037-1311
Phone Number
213-747-4626
Fax Number
Provider Enumeration Date
04/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6893 01 CA SUBSTANCE ABUSE REHAB
institution
Provider Business Practice Location Address Details
Address
3833 S Grand Ave
City
Los Angeles
State
California
Zip
90037-1311
Phone Number
213-747-4626
Fax Number
person
Provider Business Mailing Address Details
Address
3833 S Grand Ave
City
Los Angeles
State
California
Zip
90037-1311
Phone Number
213-747-4626
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
190383AN (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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