Axis Residential Treatment - West
NPI #1033483615 in Culver City, California
Provider Information
- NPI Number
- 1033483615
- Entity Type
- Organization
- Organization Name
- Axis Residential Treatment - West
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Feb 29, 2012
- Last Updated
- Feb 29, 2012
Practice Location
- Address
- 4024 HURON AVE
- City
- Culver City
- State
- California
- ZIP Code
- 90232-4017
- Phone
- (310) 838-3640
Authorized Official
- Name
- MR. BRAD KEITH, CADAC
- Title
- CEO/OWNER
- Phone
- (310) 435-6298
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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