Klean Long Beach, Wa, LLC

NPI #1912245259 in Long Beach, Washington

Provider Information

NPI Number
1912245259
Entity Type
Organization
Organization Name
Klean Long Beach, Wa, LLC
Primary Specialty
Substance Abuse Rehabilitation Facility
Enumeration Date
Jan 22, 2013
Last Updated
May 12, 2014

Practice Location

Address
211 PIONEER RD W
ZIP Code
98631-3654
Phone
(360) 642-3105

Authorized Official

Name
ANDREW SPANSWICK
Title
CEO
Phone
(310) 435-8096

Specialties & Taxonomy Codes

Specialty
Substance Abuse Rehabilitation Facility

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