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Organization
INSPIRE TOGETHER
Active
Organization
INSPIRE TOGETHER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASMOND NELSON (EXECUTIVE DIRECTOR)
(760) 905-0307
Entity
Organization
Contact information
Practice address
5301 S VERMONT AVE, LOS ANGELES, CA 90037-3529
(760) 905-0307
Mailing address
737 W 31ST ST # A, SAN PEDRO, CA 90731-6726
(760) 905-0307
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251B00000X
Case Management Agency
Primary
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
NULL
261QR0800X
Recovery Care Clinic/Center
—
NULL
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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