Provider Demographics
NPI:1700582475
Name:DIRECT RESOLUTION
Entity Type:Organization
Organization Name:DIRECT RESOLUTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RENE
Authorized Official - Middle Name:
Authorized Official - Last Name:KEY
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:310-804-4080
Mailing Address - Street 1:4195 CHINO HILLS PKWY # 127
Mailing Address - Street 2:
Mailing Address - City:CHINO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91709-2618
Mailing Address - Country:US
Mailing Address - Phone:310-804-4080
Mailing Address - Fax:
Practice Address - Street 1:2110 W FLORENCE AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90047-2137
Practice Address - Country:US
Practice Address - Phone:310-804-4080
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-03
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities