Provider Demographics
NPI:1689031585
Name:INTEGRATED RECOVERY NETWORK
Entity Type:Organization
Organization Name:INTEGRATED RECOVERY NETWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARSHA
Authorized Official - Middle Name:
Authorized Official - Last Name:TEMPLE
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:213-977-9447
Mailing Address - Street 1:1200 WILSHIRE BLVD.
Mailing Address - Street 2:SUITE 650
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90017-1996
Mailing Address - Country:US
Mailing Address - Phone:213-977-9447
Mailing Address - Fax:213-402-2807
Practice Address - Street 1:1200 WILSHIRE BLVD.
Practice Address - Street 2:SUITE 650
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90017-1996
Practice Address - Country:US
Practice Address - Phone:213-977-9447
Practice Address - Fax:213-402-2807
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-22
Last Update Date:2016-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health