| Women In Transition Re-entry Project Inc | |
|
1401 E 4th St Ste B Long Beach CA 90802-1869 | |
| (562) 207-5564 | |
| Not Available |
| Full Name | Women In Transition Re-entry Project Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1401 E 4th St Ste B, Long Beach, California |
| Authorized Official Name and Position | Brandon R. Washington (OWNER/EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3106267649 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Women In Transition Re-entry Project Inc 11138 Del Amo Blvd Ste 399 Lakewood CA 90715-1103 Ph: (562) 388-4688 | Women In Transition Re-entry Project Inc 1401 E 4th St Ste B Long Beach CA 90802-1869 Ph: (562) 207-5564 |
| NPI Number | 1417238833 |
|---|---|
| Provider Enumeration Date | 08/30/2011 |
| Last Update Date | 05/25/2024 |
| Certification Date | 05/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417238833 | NPI | - | NPPES |
| MPSS-JGDBCA | Other | CA | CERTIFIED MEDI-CAL PEER SUPPORT SPECIALIST (PSS) |
| 6062799735 | Other | CA | CDSS ARF ADMINISTRATORS CERTIFICATION |
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