| Blessed Industries Outreach Lancaster Llc | |
|
2232 W Avenue L Lancaster CA 93536-3937 | |
| (626) 607-5964 | |
| Not Available |
| Full Name | Blessed Industries Outreach Lancaster Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 2232 W Avenue L, Lancaster, California |
| Authorized Official Name and Position | Jennifer Marie Rosa (ADMIN) |
| Authorized Official Contact | 6266075964 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blessed Industries Outreach Lancaster Llc 2232 W Avenue L Lancaster CA 93536-3937 Ph: (626) 607-5964 | Blessed Industries Outreach Lancaster Llc 2232 W Avenue L Lancaster CA 93536-3937 Ph: (626) 607-5964 |
| NPI Number | 1427837657 |
|---|---|
| Provider Enumeration Date | 09/26/2023 |
| Last Update Date | 09/26/2023 |
| Certification Date | 09/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427837657 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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