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Organization
PERSONALIZED TREATMENT & INTERVENTION SERVICES
Active
Organization
PERSONALIZED TREATMENT & INTERVENTION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EARNESTINE WHITSON (DIRECTOR)
(323) 379-5003
Entity
Organization
Contact information
Practice address
519 E HAZEL ST UNIT 17, INGLEWOOD, CA 90302-5358
(916) 904-4607
Mailing address
519 E HAZEL ST UNIT 17, INGLEWOOD, CA 90302-5358
(916) 904-4607
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/23/2020
Last updated
06/11/2020
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