Provider Demographics
NPI:1932656170
Name:DOLOROSA OPERATIONS, LLC
Entity Type:Organization
Organization Name:DOLOROSA OPERATIONS, LLC
Other - Org Name:HARMONY PLACE EAST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HELFERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-800-6623
Mailing Address - Street 1:5737 KANAN RD # 227
Mailing Address - Street 2:
Mailing Address - City:AGOURA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91301-1601
Mailing Address - Country:US
Mailing Address - Phone:818-800-6623
Mailing Address - Fax:
Practice Address - Street 1:22913 BURBANK BLVD
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367-4203
Practice Address - Country:US
Practice Address - Phone:818-800-6623
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-06
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility