National Provider Identifier Database

INTERCONNECTION CENTER INC
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

INTERCONNECTION CENTER INC.
3833 S GRAND AVE
LOS ANGELES, CA90037-1311
Phone: 213-747-4626
Fax:
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for INTERCONNECTION CENTER INC.

NPI Number 1902024276
Legal business name
LBN
INTERCONNECTION CENTER INC.
Authorized official RUDY BUTLER - (EXCUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 04/23/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: 190383AN
  • CA Other: 6893 SUBSTANCE ABUSE REHAB

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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