National Provider Identifier Database

LA FUENTE HOLLYWOOD TREATMENT CENTER LLC
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

LA FUENTE HOLLYWOOD TREATMENT CENTER LLC
1601 N GOWER ST # 101
LOS ANGELES, CA90028-7596
Phone: 323-464-2947
Fax:
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for LA FUENTE HOLLYWOOD TREATMENT CENTER LLC

NPI Number 1083101661
Legal business name
LBN
LA FUENTE HOLLYWOOD TREATMENT CENTER LLC
Authorized official MANUEL RODRIGUEZ - (CEO)
Entity Organization
Organization subpart Yes
Enumeration date 04/18/2018
Last updated 04/18/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers 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.

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