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Organization
GROUNDUP FOUNDATION INC
Active
Organization
GROUNDUP FOUNDATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONNIE MCCLAIN (OWNER)
(323) 337-3000
Entity
Organization
Contact information
Practice address
6100 DE SOTO AVE, UNIT #426, WOODLAND HILLS, CA 91367
(323) 337-3000
Mailing address
20929 VENTURA BLVD STE 47, WOODLAND HILLS, CA 91364-2334
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
04/11/2023
Last updated
04/11/2023
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