Provider Demographics
NPI:1578007035
Name:BPP CHATWIN, LLC
Entity Type:Organization
Organization Name:BPP CHATWIN, LLC
Other - Org Name:DIMENSIONS RECOVERY CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:VP-FINANCE
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BRESNICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-623-2347
Mailing Address - Street 1:2001 WILSHIRE BLVD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90403-5641
Mailing Address - Country:US
Mailing Address - Phone:310-623-2347
Mailing Address - Fax:323-984-9010
Practice Address - Street 1:3849 CHATWIN AVE
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90808-2004
Practice Address - Country:US
Practice Address - Phone:877-435-7077
Practice Address - Fax:323-984-9010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-16
Last Update Date:2016-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility