# ST. JOSEPH CENTER

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

## Provider details

- **NPI number:** 1639434426
- **Authorized official:** VA LECIA ADAMS KELLUM PH.D. (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (310) 396-6468

## Contact information

- **Practice address:** 204 HAMPTON DR, VENICE, CA 90291-2623
- **Practice address phone:** (310) 396-6468
- **Practice address fax:** (310) 392-8402
- **Mailing address:** 204 HAMPTON DR, VENICE, CA 90291-2623
- **Mailing address phone:** (310) 396-6468
- **Mailing address fax:** (310) 392-8402

## Taxonomy

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

## Other

- **Enumeration date:** 07/09/2012
- **Last updated:** 02/03/2015