| Lat Intensive Outpatient Programs Inc | |
|
4551 Glencoe Ave Suite 255 Marina Del Rey CA 90292 | |
| (310) 572-7000 | |
| (310) 943-2293 |
| Full Name | Lat Intensive Outpatient Programs Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4551 Glencoe Ave, Marina Del Rey, California |
| Authorized Official Name and Position | Cynthia K Sampson (C.O.O) |
| Authorized Official Contact | 3105727000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lat Intensive Outpatient Programs Inc 4551 Glencoe Ave Suite 255 Marina Del Rey CA 90292 Ph: (310) 572-7000 | Lat Intensive Outpatient Programs Inc 4551 Glencoe Ave Suite 255 Marina Del Rey CA 90292 Ph: (310) 572-7000 |
| NPI Number | 1306265954 |
|---|---|
| Provider Enumeration Date | 04/10/2014 |
| Last Update Date | 06/24/2021 |
| Certification Date | 06/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306265954 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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