Provider Demographics
NPI:1669042388
Name:ADDICTION RESEARCH AND TREATMENT, INC.
Entity Type:Organization
Organization Name:ADDICTION RESEARCH AND TREATMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DISPENSING NURSE
Authorized Official - Prefix:MS
Authorized Official - First Name:LATOYA
Authorized Official - Middle Name:MANEN
Authorized Official - Last Name:DOTCH
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:323-223-6298
Mailing Address - Street 1:1701 ZONAL AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90033-1065
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1701 ZONAL AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90033-1065
Practice Address - Country:US
Practice Address - Phone:323-223-6398
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-25
Last Update Date:2021-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)