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Organization
HOME AT LAST COMMUNITY DEVELOPMENT CORPORATION
Active
Organization
HOME AT LAST COMMUNITY DEVELOPMENT CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRNA BELTRAN LCSW (CLINICAL DIRECTOR)
(323) 917-8843
Entity
Organization
Contact information
Practice address
1426 PALOMA ST, LOS ANGELES, CA 90021-2620
(323) 917-8843
Mailing address
3425 W MANCHESTER BLVD, INGLEWOOD, CA 90305-2101
(323) 917-8843
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/17/2021
Last updated
03/17/2021
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