| Custom Life Solutions Inc. | |
|
3605 Long Beach Blvd Ste 321 Long Beach CA 90807-4025 | |
| (562) 454-1028 | |
| Not Available |
| Full Name | Custom Life Solutions Inc. |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 3605 Long Beach Blvd Ste 321, Long Beach, California |
| Authorized Official Name and Position | Charles Walker (OWNER/ LICENSED THERAPIST) |
| Authorized Official Contact | 5624541028 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Custom Life Solutions Inc. 3605 Long Beach Blvd Ste 321 Long Beach CA 90807-4025 Ph: (562) 454-1028 | Custom Life Solutions Inc. 3605 Long Beach Blvd Ste 321 Long Beach CA 90807-4025 Ph: (562) 454-1028 |
| NPI Number | 1194413575 |
|---|---|
| Provider Enumeration Date | 04/25/2023 |
| Last Update Date | 04/25/2023 |
| Certification Date | 04/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194413575 | NPI | - | NPPES |
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