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Organization
SCHARP
Active
Organization
SCHARP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEKEISHA MONIQUE WATERS (OUTREACH ADVOCATE)
(310) 908-2842
Entity
Organization
Contact information
Practice address
8836 VERMONT AVE, LOS ANGELES, CA 90044
(323) 751-3026
Mailing address
8836 S VERMONT AVE, LOS ANGELES, CA 90044-4832
(323) 751-3026
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/10/2015
Last updated
12/10/2015
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