Kimbo Drug & Alcohol Rehabilitation Services
NPI #1760665582 in Wilmington, California
Provider Information
- NPI Number
- 1760665582
- Entity Type
- Organization
- Organization Name
- Kimbo Drug & Alcohol Rehabilitation Services
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Dec 14, 2007
- Last Updated
- Dec 14, 2007
Practice Location
- Address
- 407 N AVALON BLVD
- City
- Wilmington
- State
- California
- ZIP Code
- 90744-5803
- Phone
- (310) 549-5532
Authorized Official
- Name
- MR. KESTER JACKSON OUDNEY, LICENSE PSYCH TECH
- Title
- PROGRAM DIRECTOR
- Phone
- (310) 549-5532
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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