| 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 | Community/behavioral Health |
| Location | 2640 Industry Way, Lynwood, California |
| Authorized Official Name and Position | Matthew 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 | 1801092952 |
|---|---|
| Provider Enumeration Date | 06/25/2007 |
| Last Update Date | 06/02/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801092952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MFC 18585 (California) | Primary |
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