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Organization
IGNTD, INC.
Active
Organization
IGNTD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADI JAFFE PHD, ADC (CEO/EXECUTIVE DIRECTOR)
(310) 488-3978
Entity
Organization
Contact information
Practice address
4144 KENWAY AVE, VIEW PARK, CA 90008-4810
(310) 488-3978
Mailing address
4144 KENWAY AVE, VIEW PARK, CA 90008-4810
(888) 557-7217
(888) 739-6925
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/06/2022
Last updated
04/19/2024
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