Organization Active NPI

Refuge Recovery Clinical Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1750769428
Registry record updated May 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
REFUGE RECOVERY CLINICAL SERVICES
Practice address
4302 Melrose Ave Ste B
Los Angeles, CA 90029-3511
Phone
(323) 787-7077
NPI assigned
May 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Noah Levine
Title
Ceo
Phone
(323) 787-7077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

4302 Melrose Ave Ste B
Los Angeles, CA 90029-3511

Mailing address

4302 Melrose Ave Ste B
Los Angeles, CA 90029-3511
Phone (323) 787-7077

National Provider Directory

National Provider Directory

Locations

4302 Melrose Ave
Ste B
Los Angeles, CA 90029
Phone (323) 787-7077

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431475200000",
    "number": "1750769428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4302 MELROSE AVE STE B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900293511",
            "telephone_number": "323-787-7077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 MELROSE AVE STE B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900293511",
            "telephone_number": "323-787-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFUGE RECOVERY CLINICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-13",
        "last_updated": "2015-05-13",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "NOAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-787-7077",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.