| Love Focus Youth Outreach | |
|
108 W Alexander Ave Merced CA 95348-3410 | |
| (209) 233-9024 | |
| (866) 310-8868 |
| Full Name | Love Focus Youth Outreach |
|---|---|
| Speciality | Case Manager/care Coordinator |
| Location | 108 W Alexander Ave, Merced, California |
| Authorized Official Name and Position | Theophilus Nkwopara (CEO/INFORMATION TECHNOLOGY DIRECTOR) |
| Authorized Official Contact | 2098695800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Love Focus Youth Outreach Po Box 3704 Merced CA 95344-3704 Ph: (209) 869-5800 | Love Focus Youth Outreach 108 W Alexander Ave Merced CA 95348-3410 Ph: (209) 233-9024 |
| NPI Number | 1639635154 |
|---|---|
| Provider Enumeration Date | 02/20/2019 |
| Last Update Date | 03/02/2023 |
| Certification Date | 03/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639635154 | NPI | - | NPPES |
| 285790 | Other | CA | BVN AND PSYCHIATRIC TECHNICIANS |
| 247207212 | Other | CA | FACILITY |
| 768074 | Other | CA | CALIFORNIA BOARD OF REGISTEREDNURSING - BRN |
| 65927 | Other | CA | BBS/LICENSED CLINICAL SOCIAL WORKER |
| 851729 | Other | CA | CALIFORNIA BOARD OF REGISTEREDNURSING - BRN |
| 289669 | Other | CA | BVN AND PSYCHIATRIC TECHNICIANS |
| C3791162 | Other | CA | SECRETARY OF STATE |
| C4564277 | Other | CA | SECRETARY OF STATE |
| 813953 | Other | CA | CALIFORNIA BOARD OF REGISTEREDNURSING - BRN |
| 279040 | Other | CA | B VN AND PSYCHIATRIC TECHNICIANS |
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