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Organization
GRAB THE WHEEL KIDS
Active
Organization
GRAB THE WHEEL KIDS
Active
Other names
Grab The Wheel Kids Anger Management/Social Skills
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYAN GEOFFREY ANDERSON LCSW (OWNER)
(310) 562-5258
Entity
Organization
Contact information
Practice address
2880 ATLANTIC AVE STE 110, LONG BEACH, CA 90806-1739
(310) 562-5258
Mailing address
2300 WESTRIDGE RD, LOS ANGELES, CA 90049-1229
(310) 562-5258
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
11/12/2018
Last updated
11/12/2018
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