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Organization
PENNACLE FOUNDATION, INC.
Active
Organization
PENNACLE FOUNDATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN RUFFIN (EXECUTIVE DIRECTOR)
(323) 750-2400
Entity
Organization
Contact information
Practice address
5125 CRENSHAW BLVD, LOS ANGELES, CA 90043-1853
(323) 750-2400
(323) 825-5660
Mailing address
PO BOX 18224, LOS ANGELES, CA 90018-0224
(323) 750-2400
(323) 825-5660
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/18/2014
Last updated
08/18/2014
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