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Organization
WINKY'S TREATMENT CENTER
Active
Organization
WINKY'S TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORECA WALKER (EXECUTIVE DIRECTOR)
(323) 846-8848
Entity
Organization
Contact information
Practice address
5310 S HOOVER ST, LOS ANGELES, CA 90037-3734
(323) 846-8848
Mailing address
5310 S HOOVER ST, LOS ANGELES, CA 90037-3734
(323) 846-8848
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
7190
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7190
PROVIDER NUMBER
CA
Enumeration date
04/12/2007
Last updated
08/22/2020
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