Provider Demographics
NPI:1962733022
Name:WATTS HEALTHCARE CORPORATION
Entity type:Organization
Organization Name:WATTS HEALTHCARE CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHEIF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:D
Authorized Official - Last Name:HOBSON
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:323-357-4417
Mailing Address - Street 1:8005 S FIGUEROA ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90003-2720
Mailing Address - Country:US
Mailing Address - Phone:323-568-5421
Mailing Address - Fax:323-752-8031
Practice Address - Street 1:8005 S FIGUEROA ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90003-2720
Practice Address - Country:US
Practice Address - Phone:323-568-5421
Practice Address - Fax:323-752-8031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-28
Last Update Date:2010-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA190377AN324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility