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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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Substance Abuse Disorder Rehabilitation Facility |
324500000X |
| NPI Number | 1073887329 |
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| LBN Legal business name | LA FUENTE HOLLYWOOD TREATMENT CENTER LLC | ||||
| Authorized official | MANUEL RODRIGUEZ - (EXECUTIVE DIRECTOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 03/05/2012 | ||||
| Last updated | 03/05/2012 - About 14 years ago | ||||
| Identifiers |
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LA FUENTE HOLLYWOOD TREATMENT CENTER LLC