| Liberty Behavioral & Community Services, Inc. | |
|
5601 W Slauson Ave Ste 130 Culver City CA 90230-6576 | |
| (310) 345-6651 | |
| Not Available |
| Full Name | Liberty Behavioral & Community Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5601 W Slauson Ave Ste 130, Culver City, California |
| Authorized Official Name and Position | Ladale Jackson (CEO) |
| Authorized Official Contact | 3109100406 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Liberty Behavioral & Community Services, Inc. 5601 W Slauson Ave Ste 130 Culver City CA 90230-6576 Ph: (310) 345-6651 | Liberty Behavioral & Community Services, Inc. 5601 W Slauson Ave Ste 130 Culver City CA 90230-6576 Ph: (310) 345-6651 |
| NPI Number | 1851002042 |
|---|---|
| Provider Enumeration Date | 12/08/2022 |
| Last Update Date | 07/19/2024 |
| Certification Date | 07/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851002042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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