Provider Demographics
NPI:1154047876
Name:R G FRANKLIN CENTER LLC
Entity type:Organization
Organization Name:R G FRANKLIN CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:COREY
Authorized Official - Middle Name:R
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD APH AAHIVP
Authorized Official - Phone:636-584-5078
Mailing Address - Street 1:2300 BOSWELL RD STE 235
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91914-3559
Mailing Address - Country:US
Mailing Address - Phone:636-584-5078
Mailing Address - Fax:619-655-4327
Practice Address - Street 1:1801 CAMINO PALMERO
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90046
Practice Address - Country:US
Practice Address - Phone:800-985-7580
Practice Address - Fax:619-655-4327
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-14
Last Update Date:2022-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility