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Organization
COMMUNITY WEST LLC
Active
Organization
COMMUNITY WEST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARC SANDERS PHD, FIPA (CO-FOUNDER)
(310) 497-5995
Entity
Organization
Contact information
Practice address
1990 S BUNDY DR STE 320, LOS ANGELES, CA 90025-5249
(310) 990-0988
Mailing address
1990 S BUNDY DR STE 320, LOS ANGELES, CA 90025-5249
(310) 990-0988
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/16/2018
Last updated
04/16/2018
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