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8443 Crenshaw Blvd Suite 103 Inglewood CA 90305-1900 | |
| (323) 778-7254 | |
| (323) 777-1025 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8443 Crenshaw Blvd, Inglewood, California |
| Authorized Official Name and Position | Lois Marie Leblanc (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3237787254 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
8443 Crenshaw Blvd Suite 103 Inglewood CA 90305-1900 Ph: (323) 778-7254 | 8443 Crenshaw Blvd Suite 103 Inglewood CA 90305-1900 Ph: (323) 778-7254 |
| NPI Number | 1346402831 |
|---|---|
| Provider Enumeration Date | 06/26/2008 |
| Last Update Date | 06/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346402831 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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