# T.D.D. SUPPORTIVE LIVING INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497570162
- **Authorized official:** DEBORAH ROBERSON CMPSS \#MPSS-OUQDWB (CEO)
- **Authorized official phone:** (323) 899-9398

## Contact information

- **Practice address:** 235 W 99TH ST, LOS ANGELES, CA 90003-4116
- **Practice address phone:** (323) 899-9398
- **Practice address fax:** (323) 978-6903
- **Mailing address:** 4604 S VICTORIA AVE, VIEW PARK, CA 90043-1214
- **Mailing address phone:** (323) 899-9398
- **Mailing address fax:** (323) 978-6903

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/18/2024
- **Last updated:** 11/18/2024