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Organization
TOTAL FAMILY SUPPORT CLINIC
Active
Organization
TOTAL FAMILY SUPPORT CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA JORDAN (PROGRAM MANAGER)
(323) 778-4227
Entity
Organization
Contact information
Practice address
2511 LONG BEACH BLVD, LONG BEACH, CA 90806-3111
(562) 981-1501
(562) 981-1502
Mailing address
2511 LONG BEACH BLVD, LONG BEACH, CA 90806-3111
(562) 981-1501
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101Y0000X
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YA0400X
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
2395299
CA
251B00000X
Case Management Agency
2395299
CA
Other
Enumeration date
04/06/2007
Last updated
09/11/2025
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