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Organization
NEW EARTH ORGANIZATION
Active
Organization
NEW EARTH ORGANIZATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YANA SIMONE MBA (EXECUTIVE VICE PRESIDENT & CO-FOUND)
(310) 435-7040
Entity
Organization
Contact information
Practice address
12100 W WASHINGTON BLVD, LOS ANGELES, CA 90066-5502
(310) 455-2847
Mailing address
12100 W WASHINGTON BLVD, LOS ANGELES, CA 90066-5502
(310) 455-2847
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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