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Organization
ORGANIZATION REACHOUT, INC.
Active
Organization
ORGANIZATION REACHOUT, INC.
Active
Other names
Community Care Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
SHELIA DIANE ABBY (OPERATIONS MANAGER)
(310) 462-8840
Entity
Organization
Contact information
Practice address
920 N LONG BEACH BLVD, SUITE 1, COMPTON, CA 90221-2260
(310) 669-9400
(310) 669-9403
Mailing address
920 N LONG BEACH BLVD, SUITE 1, COMPTON, CA 90221-2260
(310) 669-9400
(310) 669-9403
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10891
CA
Other
Enumeration date
03/07/2014
Last updated
03/07/2014
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