| Blythe Project Llc | |
|
16501 Ventura Blvd Ste 450 Encino CA 91436-2068 | |
| (949) 394-3221 | |
| Not Available |
| Full Name | Blythe Project Llc |
|---|---|
| Speciality | Counselor - Pastoral |
| Location | 16501 Ventura Blvd Ste 450, Encino, California |
| Authorized Official Name and Position | Dennis Matthews (MANAGER PARTNER) |
| Authorized Official Contact | 9493943221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blythe Project Llc 16501 Ventura Blvd Ste 400 Encino CA 91436-2067 Ph: (949) 394-3221 | Blythe Project Llc 16501 Ventura Blvd Ste 450 Encino CA 91436-2068 Ph: (949) 394-3221 |
| NPI Number | 1700622453 |
|---|---|
| Provider Enumeration Date | 07/02/2024 |
| Last Update Date | 07/02/2024 |
| Certification Date | 07/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700622453 | NPI | - | NPPES |
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