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Organization
LEWIS PROFESSIONAL SERVICES
Active
Organization
LEWIS PROFESSIONAL SERVICES
Active
Other names
Inglewood Alcohol and Drug Program
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GLORIA MCHENRY LEWIS (ADMINISTRATOR)
(310) 673-5882
Entity
Organization
Contact information
Practice address
400 S LA BREA AVE, SUITE 202, INGLEWOOD, CA 90301-2339
(310) 673-5882
(310) 673-5904
Mailing address
400 S LA BREA AVE, SUITE 202, INGLEWOOD, CA 90301-2339
(310) 673-5882
(310) 673-5904
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19-041-01-100
CA
Other
Enumeration date
01/05/2006
Last updated
08/22/2020
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