National Provider Identifier Database

CAMDEN RESIDENTIAL PROGRAM 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

CAMDEN RESIDENTIAL PROGRAM, LLC
530 HILGARD AVE
LOS ANGELES, CA90024-3224
Phone: 310-424-0853
Fax:
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for CAMDEN RESIDENTIAL PROGRAM, LLC

NPI Number 1760840094
Legal business name
LBN
CAMDEN RESIDENTIAL PROGRAM, LLC
Authorized official JESSICA KLEIN - (DIRECTOR OF OPERATIONS)
Entity Organization
Organization subpart No
Enumeration date 02/01/2016
Last updated 02/01/2016 - About 10 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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