| Key Mentoring 2 Llc | |
|
10990 Wilshire Blvd Ste 1650 Los Angeles CA 90024-3927 | |
| (310) 850-9092 | |
| Not Available |
| Full Name | Key Mentoring 2 Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 10990 Wilshire Blvd Ste 1650, Los Angeles, California |
| Authorized Official Name and Position | Evan Powell (MANAGING PARTNER) |
| Authorized Official Contact | 3108509092 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Key Mentoring 2 Llc 10990 Wilshire Blvd Ste 1650 Los Angeles CA 90024-3927 Ph: (310) 850-9092 | Key Mentoring 2 Llc 10990 Wilshire Blvd Ste 1650 Los Angeles CA 90024-3927 Ph: (310) 850-9092 |
| NPI Number | 1609697168 |
|---|---|
| Provider Enumeration Date | 10/17/2024 |
| Last Update Date | 10/17/2024 |
| Certification Date | 10/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609697168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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