| Rehoboth Drug And Alcohol Prevention Center | |
|
718 W Compton Blvd Compton CA 90220-3015 | |
| (310) 663-0789 | |
| Not Available |
| Full Name | Rehoboth Drug And Alcohol Prevention Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 718 W Compton Blvd, Compton, California |
| Authorized Official Name and Position | Adefemi Olufisayo Adegbesan (PRESIDENT) |
| Authorized Official Contact | 3106630789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rehoboth Drug And Alcohol Prevention Center 716 W Compton Blvd Compton CA 90220-3015 Ph: (310) 663-0789 | Rehoboth Drug And Alcohol Prevention Center 718 W Compton Blvd Compton CA 90220-3015 Ph: (310) 663-0789 |
| NPI Number | 1124467279 |
|---|---|
| Provider Enumeration Date | 06/21/2013 |
| Last Update Date | 12/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124467279 | NPI | - | NPPES |
| 1629201629 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (California) | Primary |
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