Provider Demographics
NPI:1780116715
Name:SOCAL RELIEF SERVICES, INC
Entity type:Organization
Organization Name:SOCAL RELIEF SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BORODI
Authorized Official - Suffix:
Authorized Official - Credentials:C E ADMINISTRATOR
Authorized Official - Phone:213-712-5100
Mailing Address - Street 1:5505 DANBURY PL
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-6833
Mailing Address - Country:US
Mailing Address - Phone:213-712-5100
Mailing Address - Fax:818-578-6519
Practice Address - Street 1:21746 MAYAN DR
Practice Address - Street 2:
Practice Address - City:CHATSWORTH
Practice Address - State:CA
Practice Address - Zip Code:91311-1418
Practice Address - Country:US
Practice Address - Phone:213-712-5100
Practice Address - Fax:818-578-6519
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-29
Last Update Date:2017-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility