| Project Impact Inc. | |
|
2640 Industry Way Suites G And H Lynwood CA 90262-4000 | |
| (310) 631-9763 | |
| (310) 631-6680 |
| Full Name | Project Impact Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2640 Industry Way, Lynwood, California |
| Authorized Official Name and Position | Matthew Ross Harris (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3106319763 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Project Impact Inc. 2640 Industry Way Suites G And H Lynwood CA 90262-4000 Ph: (310) 631-9763 | Project Impact Inc. 2640 Industry Way Suites G And H Lynwood CA 90262-4000 Ph: (310) 631-9763 |
| NPI Number | 1285330407 |
|---|---|
| Provider Enumeration Date | 01/31/2023 |
| Last Update Date | 05/02/2023 |
| Certification Date | 05/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285330407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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