National Provider Identifier Database

CHABAD RESIDENTIAL TREATMENT CENTER
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

CHABAD RESIDENTIAL TREATMENT CENTER
5675 W OLYMPIC BLVD
LOS ANGELES, CA90036-4712
Phone: 323-965-1365
Fax: 323-965-0444
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for CHABAD RESIDENTIAL TREATMENT CENTER

NPI Number 1841429669
Legal business name
LBN
CHABAD RESIDENTIAL TREATMENT CENTER
Authorized official DONNA MILLER - (CLINICAL DIRECTOR)
Entity Organization
Organization subpart Yes
Enumeration date 07/14/2009
Last updated 03/31/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: 190087CN

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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