| Dixon Recovery Institute, Inc. | |
|
7400 W Manchester Ave Rms 1 & 2 Westchester CA 90045-2322 | |
| (323) 988-3744 | |
| (323) 988-9672 |
| Full Name | Dixon Recovery Institute, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7400 W Manchester Ave, Westchester, California |
| Authorized Official Name and Position | Ronda 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. 4715 Crenshaw Blvd Los Angeles CA 90043-1233 Ph: (323) 988-3744 | Dixon Recovery Institute, Inc. 7400 W Manchester Ave Rms 1 & 2 Westchester CA 90045-2322 Ph: (323) 988-3744 |
| NPI Number | 1013146778 |
|---|---|
| Provider Enumeration Date | 07/02/2009 |
| Last Update Date | 10/14/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013146778 | NPI | - | NPPES |
| 197336 | Other | CA | DRUG MEDI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 190622AN (California) | Primary |