Dominion Alcohol & Drug Program in Los Angeles - Addiction (substance Use Disorder)
Dominion Alcohol & Drug Program - NPI 1851583439
Dominion Alcohol & Drug Program is a Addiction (substance Use Disorder) in Los Angeles, California. Dominion Alcohol & Drug Program practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Dominion Alcohol & Drug Program is 1851583439. The last update date is 2007-08-16.
Dominion Alcohol & Drug Program's current location address is 5178 W. Pico Blvd, Los Angeles, California. You can contact this provider via phone number 3239331800. The mailing address for Dominion Alcohol & Drug Program is 5178 W. Pico Blvd, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dominion Alcohol & Drug Program |
|---|---|
| Address | 5178 W. Pico Blvd, Los Angeles, California |
| Phone Number | 3239331800 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Price D Miesha |
| Credentials | MS |
| Telephone Number | 3239331800 |
NPI Number Detail
| NPI Number | 1851583439 |
|---|---|
| Provider Enumeration Date | 2007-08-16 |
| Last Updated Date | 2007-08-16 |
Provider Mailing Address Detail
| Address | 5178 W. Pico Blvd |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900194134 |
| Phone Number | 3239331800 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | NONE |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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What is the unique provider identifier assigned to Dominion Alcohol & Drug Program?
The Dominion Alcohol & Drug Program has been issued the NPI (National Provider Identifier) 1851583439 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Dominion Alcohol & Drug Program is geographically located?
The Dominion Alcohol & Drug Program is physically situated at the following location: 5178 W. Pico Blvd, Los Angeles, CA, 900194134.
What is Dominion Alcohol & Drug Program's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Dominion Alcohol & Drug Program is Addiction (substance Use Disorder), and the taxonomy code that categorizes this field of expertise is 101Ya0400X.
When was the Dominion Alcohol & Drug Program's 1851583439 issued?
The Dominion Alcohol & Drug Program's 1851583439 was issued on 2007-08-16.
As of what date were the details related to Dominion Alcohol & Drug Program most recently updated or revised?
The information pertaining to Dominion Alcohol & Drug Program, including its address, specialty, and other relevant details, was last updated or revised on 2007-08-16.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA