Social Model Recovery Systems, Inc., NPI 1851389993
Substance Abuse Rehabilitation Facility in Los Angeles, CA, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1851389993 |
| NPI Entity Type | Organization |
| Provider Name | Social Model Recovery Systems, Inc. |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 155 Bimini Pl, Los Angeles, CA, US |
| Provider Mailing Address | 223 E Rowland St, Covina, CA, US, 917233147 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | MA, MFT. Dawn N. Dades |
| Official Position | SENIOR CLINICAL DIRECTOR |
| Phone | 626-332-3145 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Substance Abuse Rehabilitation Facility |
| Classification | |
| Group | |
| License No. | 190008AN |
| License State | CA |
| Description | 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. |
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MA Nicole Phyllis Bermensolo Individual |
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BA SLPA Anna Shurilla Individual |
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Keith Chung Individual |
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RD, CNSC Jessica Ann Mumaugh Individual |
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MS. PA-C Leia Binh Tang Individual |
12462 Putnam St Ste 501 |
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Heidi Velasquez Individual |
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DR. D.C. Julio Cesar Fassino Individual |
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Alayne Dhamecha Individual |
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Jacqueline Daphnee Surpin Individual |
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Kacey Hu Individual |
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AMFT Johanna Belen Brubaker Individual |
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April Waight Individual |
1200 Concord Ave Ste 100 |
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Catherine S. Montemayor Individual |
4150 Clement St |
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LMFT Jeremey Sulker-hall Individual |
31200 Via Colinas Ste 202 |
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M.D., M.P.H. Vivek Datta Individual |
2211 Post St Ste 300 |
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MFT Yasmin Vishram-morris Individual |
9696 Culver Blvd Ste 303 |
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