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Organization
SOUTHERN CALIFORNIA DRUG DIVERSION
Active
Organization
SOUTHERN CALIFORNIA DRUG DIVERSION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SAMANTHA L LYTTLE MSW (PROGRAM DIRECTOR)
(310) 328-0780
Entity
Organization
Contact information
Practice address
2370 W CARSON ST STE 136, TORRANCE, CA 90501-7114
(310) 328-0780
(310) 328-0785
Mailing address
2370 W CARSON ST STE 136, TORRANCE, CA 90501-7114
(310) 328-0780
(310) 328-0785
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/26/2010
Last updated
07/26/2010
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