|
| |
|
1506 Centinela Ave Inglewood CA 90302-1144 | |
| (510) 317-1446 | |
| (510) 317-1443 |
| Full Name | |
|---|---|
| Speciality | Foster Care Agency |
| Location | 1506 Centinela Ave, Inglewood, California |
| Authorized Official Name and Position | Sandy Hobson (QUALITY ASSURANCE DIRECTOR) |
| Authorized Official Contact | 5107255727 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2275 Arlington Dr San Leandro CA 94578-1132 Ph: () - | 1506 Centinela Ave Inglewood CA 90302-1144 Ph: (510) 317-1446 |
| NPI Number | 1376014134 |
|---|---|
| Provider Enumeration Date | 12/05/2018 |
| Last Update Date | 03/10/2020 |
| Certification Date | 03/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376014134 | NPI | - | NPPES |
| 0015 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 253J00000X | Foster Care Agency | (* (Not Available)) | Primary |
Soul Care Licensed Clinical Social Worker Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1316 Centinela Ave, Inglewood, CA 90302 Phone: 424-321-7685 | |
Jikole Helping Hands Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 317 E Hillcrest Blvd, Inglewood, CA 90301 Phone: 310-292-9941 | |
California Neuromedical Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 301 N Prairie Ave, Ste.315, Inglewood, CA 90301 Phone: 310-680-0304 Fax: 310-680-0305 | |
Maat Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3500 W Manchester Blvd Unit 349, Inglewood, CA 90305 Phone: 323-855-7527 |