# DELIANN-LUCILE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DeliLu Achievement Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306395454
- **Authorized official:** MARY L DAVIS (CEO/FOUNDER)
- **Authorized official phone:** (310) 215-8900

## Contact information

- **Practice address:** 5800 HANNUM AVE STE 230, LOS ANGELES, CA 90230-6553
- **Practice address phone:** (310) 837-5494
- **Practice address fax:** (310) 815-8601
- **Mailing address:** 5800 HANNUM AVE STE 230, LOS ANGELES, CA 90230-6553
- **Mailing address phone:** (310) 215-8900
- **Mailing address fax:** (310) 215-8907

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 198203559 | CA | Yes |

## Other

- **Enumeration date:** 09/30/2016
- **Last updated:** 03/28/2019