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Organization
DELIANN-LUCILE CORPORATION
Active
Organization
DELIANN-LUCILE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY DAVIS (CEO/FOUNDER)
(310) 215-8900
Entity
Organization
Contact information
Practice address
1564 W 36TH PL, LOS ANGELES, CA 90018-4503
(323) 766-9415
(323) 766-1710
Mailing address
5731 W SLAUSON AVE STE 210, CULVER CITY, CA 90230-6982
(310) 215-8900
(310) 215-8907
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/23/2016
Last updated
12/16/2019
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