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Organization
ST. PAUL CENTER ALCOHOL AND DRUG PROGRAM
Active
Organization
ST. PAUL CENTER ALCOHOL AND DRUG PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA CLAIBORNE (PROGRAM DIRECTOR)
(310) 908-3856
Entity
Organization
Contact information
Practice address
1039 W FLORENCE AVE, LOS ANGELES, CA 90044-2441
(323) 776-1504
Mailing address
1039 W FLORENCE AVE, LOS ANGELES, CA 90044-2441
(323) 779-1504
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
C1402211308
CA
Other
Enumeration date
10/27/2015
Last updated
10/27/2015
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