American Drug Recovery Program, Inc.

Organization Active NPI Community/Behavioral Health Agency · Carson, CA

NPI 1437402203 · NPPES record last updated Oct 18, 2012

Key facts

NPI
1437402203
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
AMERICAN DRUG RECOVERY PROGRAM, INC.
Practice address
21828 Avalon Blvd
Carson, CA 90745-3303
Phone
(323) 759-3464
Fax
(323) 759-3427
NPI assigned
Oct 18, 2012
Organization subpart
No

Authorized official

Name
Mr. Ehigimetor Inegbenoise
Title
Executive Director
Phone
(323) 759-3464

Corporate family (same tax ID) 12

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
American Drug Recovery Program Inc (13 organizations share this tax ID)

Locations

21828 Avalon Blvd
Carson, CA 90745
Phone (424) 477-5225

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Yes

Addresses

Primary practice location

21828 Avalon Blvd
Carson, CA 90745-3303

Mailing address

2724 W Florence Ave
Los Angeles, CA 90043-5143
Phone (323) 759-3464

Other providers in Carson, CA

All providers in Carson, CA · Community/Behavioral Health Agency in California

Sources for this page

Verify at the official NPI Registry.