| Dixon Recovery Institute,inc. 2 | |
|
500 E Carson Plaza Dr Ste 103 Carson CA 90746-7323 | |
| (323) 988-3744 | |
| Not Available |
| Full Name | Dixon Recovery Institute,inc. 2 |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 500 E Carson Plaza Dr Ste 103, Carson, California |
| Authorized Official Name and Position | Ronda Renee Dixon (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3239883744 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dixon Recovery Institute,inc. 2 500 E Carson Plaza Dr Ste 103 Carson CA 90746-7323 Ph: () - | Dixon Recovery Institute,inc. 2 500 E Carson Plaza Dr Ste 103 Carson CA 90746-7323 Ph: (323) 988-3744 |
| NPI Number | 1306111265 |
|---|---|
| Provider Enumeration Date | 03/12/2012 |
| Last Update Date | 03/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306111265 | NPI | - | NPPES |
| 197336 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 190622AN (California) | Primary |
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