Gardena Socialization & Activity Center | |
2320 W 149th St Gardena CA 90249-3702 | |
(310) 217-9537 | |
(310) 217-6117 |
Full Name | Gardena Socialization & Activity Center |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 2320 W 149th St, Gardena, California |
Authorized Official Name and Position | Layne S. Wakuta (RECREATION THERAPIST) |
Authorized Official Contact | 3102179552 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Gardena Socialization & Activity Center 1670 W 162nd St Gardena CA 90247-3734 Ph: (310) 217-9552 | Gardena Socialization & Activity Center 2320 W 149th St Gardena CA 90249-3702 Ph: (310) 217-9537 |
NPI Number | 1568652915 |
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Provider Enumeration Date | 07/31/2007 |
Last Update Date | 12/11/2020 |
Certification Date | 12/10/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568652915 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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