National Provider Identifier Database

LARRY MAXWELL
Substance Abuse Disorder Rehabilitation Facility

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.


Contact Information

LARRY MAXWELL
4445 BURNS AVE
LOS ANGELES, CA90029-2702
Phone: 323-664-8940
Fax:
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for LARRY MAXWELL

NPI Number 1336687821
Credentials
Entity Individual
Enumeration date 02/06/2017
Last updated 02/06/2017 - About 9 years ago
Sole proprietor1 Yes
Identifiers
  • CA License #: R1236821116
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for LARRY MAXWELL

There are currently no reviews for LARRY MAXWELL


NPIdb - Home
v2.201