| Project Destiny Home Of Hope | |
|
2306 W 73rd St Los Angeles CA 90043-5342 | |
| (323) 920-6258 | |
| (888) 235-7774 |
| Full Name | Project Destiny Home Of Hope |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 2306 W 73rd St, Los Angeles, California |
| Authorized Official Name and Position | Deborah Kaye Manns (PRESIDENT) |
| Authorized Official Contact | 3102707520 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Project Destiny Home Of Hope 1630 Centinela Ave Ste 211 Inglewood CA 90302-6950 Ph: (323) 457-0997 | Project Destiny Home Of Hope 2306 W 73rd St Los Angeles CA 90043-5342 Ph: (323) 920-6258 |
| NPI Number | 1275025140 |
|---|---|
| Provider Enumeration Date | 06/05/2018 |
| Last Update Date | 10/23/2023 |
| Certification Date | 10/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275025140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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