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NPI Code Detail

MEDICARE: SOCIAL MODEL RECOVERY SYSTEMS, INC.

MEDICARE: SOCIAL MODEL RECOVERY SYSTEMS, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1324500000XSubstance Abuse Rehabilitation Facility

General Provider Information

NPI Number : 1407134158
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOCIAL MODEL RECOVERY SYSTEMS, INC.
Provider Business Mailing Address
First Line : 223 E ROWLAND ST
Second Line :
City : COVINA
State : CA
Zip : 91723-3147
Country : US
Telephone Number : 626-332-3145
Fax Number : 626-974-4164
Provider Business Practice Location Address
First Line : 3426, 3430 COGSWELL RD
Second Line :
City : EL MONTE
State : CA
Zip : 91732-2785
Country : US
Telephone Number : 626-453-3400
Fax Number : 626-453-3410
Authorized Official
Title or Position : SENIOR DIRECTOR OF CLINICAL SERVICE
Name : LYNETTA HALE
Credential : AMFT, LPT, MA
Telephone Number : 626-332-3145
Provider Enumeration Date : 07/29/2011
Last Update Date : 03/01/2024

Similar Medicare Providers

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Practice Location Address:
3430 COGSWELL RD
EL MONTE, CA
91732-2785
Practice Phone: 626-453-3400
Practice Fax:
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1407149529 — SARA KURTZ
Practice Location Address:
3430 COGSWELL RD
EL MONTE, CA
91732-2785
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Practice Fax:
1679984348 — MR. JOHN ANDREW RINCON JR. AOD COUNSELOR
Practice Location Address:
3430 COGSWELL RD
EL MONTE, CA
91732-2785
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Practice Fax:
1609283878 — MISS VALERIE M FRAUSTO CADC
Practice Location Address:
3430 COGSWELL RD
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91732-2785
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Practice Fax: 626-246-3433

Directions to “SOCIAL MODEL RECOVERY SYSTEMS, INC. ” Practice Location

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