| Community Outreach For A Brighter California Llc | |
|
644 E Regent St Inglewood CA 90301-1433 | |
| (909) 898-7665 | |
| Not Available |
| Full Name | Community Outreach For A Brighter California Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 644 E Regent St, Inglewood, California |
| Authorized Official Name and Position | Latisha A Shepherd (OWNER) |
| Authorized Official Contact | 9098987665 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Outreach For A Brighter California Llc 644 E Regent St Inglewood CA 90301-1433 Ph: (909) 898-7665 | Community Outreach For A Brighter California Llc 644 E Regent St Inglewood CA 90301-1433 Ph: (909) 898-7665 |
| NPI Number | 1760247993 |
|---|---|
| Provider Enumeration Date | 02/16/2024 |
| Last Update Date | 02/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760247993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Secondary |
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