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Organization
SOUTHERN CALIFORNIA DRUG DIVERSION
Active
Organization
SOUTHERN CALIFORNIA DRUG DIVERSION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SAMANTHA LYTTLE LCSW (CLINICAL SOCIAL WORKER)
(310) 951-2748
Entity
Organization
Contact information
Practice address
2370 W CARSON ST, 235, TORRANCE, CA 90501-3100
(310) 951-2748
Mailing address
2370 W CARSON ST, 235, TORRANCE, CA 90501-3100
(310) 951-2748
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/06/2014
Last updated
11/06/2014
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