| Fred Brown's Recovery Services, Inc. | |
|
270 W 14th St San Pedro CA 90731-4396 | |
| (310) 519-8723 | |
| (310) 519-1309 |
| Full Name | Fred Brown's Recovery Services, Inc. |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 270 W 14th St, San Pedro, California |
| Authorized Official Name and Position | Angelita Fernando (ADMINISTRATIVE MANAGER) |
| Authorized Official Contact | 3105198723 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fred Brown's Recovery Services, Inc. Po Box 2743 San Pedro CA 90731-0182 Ph: (310) 519-8723 | Fred Brown's Recovery Services, Inc. 270 W 14th St San Pedro CA 90731-4396 Ph: (310) 519-8723 |
| NPI Number | 1558160887 |
|---|---|
| Provider Enumeration Date | 03/10/2025 |
| Last Update Date | 03/10/2025 |
| Certification Date | 03/10/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558160887 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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