NPI 1033511548

Circle of Life Outpatient, INC.

Organisation Substance Abuse Rehabilitation Facility Los Angeles, CA

Practice location

Address: 715 N Ridgewood Pl, Los Angeles, CA 90038-3105
Phone: (323) 578-8546
Mailing address: 2420 Hercules Dr, Los Angeles, CA 90046-1634

Authorised official

Name: Marina Verkhovsky
Title: Ceo
Phone: (213) 595-3450

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

Other Substance Abuse Rehabilitation Facility providers in California →

Registry record

NPI: 1033511548
Entity type: Organization
NPI issued: 16 Sep 2014
Record last updated: 16 Sep 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.