National Provider Identifier Database

MC INTYRE HOUSE
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

MC INTYRE HOUSE
544 N KENMORE AVE
LOS ANGELES, CA90004-6815
Phone: 323-662-0855
Fax: 323-662-0842
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for MC INTYRE HOUSE

NPI Number 1376829432
Legal business name
LBN
MC INTYRE HOUSE
Authorized official MILTON MARISTELA - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 11/02/2011
Last updated 11/02/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: 190420AN

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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