| Full Name | |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 260 N. Locust, Inglewood, California |
| Authorized Official Name and Position | Rhonda Labomme (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3237552742 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
8306 Wilshire Blvd #7024 Beverly Hills CA 90211 Ph: (323) 755-2742 | 260 N. Locust Inglewood CA 90301 Ph: (323) 755-2742 |
| NPI Number | 1487895686 |
|---|---|
| Provider Enumeration Date | 03/18/2009 |
| Last Update Date | 03/18/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487895686 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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