National Provider Identifier Database

REFUGE RECOVERY 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

REFUGE RECOVERY HOUSE
1007 MANZANITA ST
LOS ANGELES, CA90029-3011
Phone: 323-787-7077
Fax:
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for REFUGE RECOVERY HOUSE

NPI Number 1902270960
Legal business name
LBN
REFUGE RECOVERY HOUSE
Authorized official SHANNON FOWLER - (PROGRAM DIRECTOR/COFOUNDER)
Entity Organization
Organization subpart No
Enumeration date 11/13/2015
Last updated 11/13/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: 190853BP

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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