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Contact Information

SOCIAL MODEL RECOVERY SYSTEMS, INC.
453 S INDIANA ST
LOS ANGELES, CA90063-3908
 Phone: 323-266-7725
 Fax: 323-266-7742
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Substance Abuse Disorder Rehabilitation Facility

324500000X
Indicates primary specialty

NPI Profile & details for SOCIAL MODEL RECOVERY SYSTEMS, INC.

NPI # 1124306386
LBN Legal business name SOCIAL MODEL RECOVERY SYSTEMS, INC.
Authorized official LYNETTA HALE - (SENIOR DIRECTOR OF CLINICAL SERVICE)
Entity Organization
Organization subpart 1 Yes
Enumeration date 07/21/2011
Last updated 03/04/2024 - About 2 years ago
Identifiers
CA License # 190035CN
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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