| West Coast Healthy Living Outreach | |
|
2158 Pacific Ave Suite A Long Beach CA 90806-4514 | |
| (951) 567-6051 | |
| Not Available |
| Full Name | West Coast Healthy Living Outreach |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 2158 Pacific Ave, Long Beach, California |
| Authorized Official Name and Position | Kuawanna Thompson (PRESIDENT) |
| Authorized Official Contact | 9515676051 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Coast Healthy Living Outreach 2158 Pacific Ave Suite A Long Beach CA 90806-4514 Ph: (951) 567-6051 | West Coast Healthy Living Outreach 2158 Pacific Ave Suite A Long Beach CA 90806-4514 Ph: (951) 567-6051 |
| NPI Number | 1700207735 |
|---|---|
| Provider Enumeration Date | 12/17/2013 |
| Last Update Date | 12/17/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700207735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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