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Organization
PRIDE HEALTH SERVICES, INC.
Active
Organization
PRIDE HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHY SHAKIR (PROGRAM ADMINISTRATOR)
(310) 677-9019
Entity
Organization
Contact information
Practice address
8904 S VERMONT AVE, LOS ANGELES, CA 90044-4834
(323) 753-5950
(323) 753-6020
Mailing address
8904 S VERMONT AVE, LOS ANGELES, CA 90044-4834
(323) 753-5950
(323) 753-6020
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
90318188
CA
Other
Enumeration date
04/08/2008
Last updated
04/08/2008
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