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Organization

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Active
Organization subpart
No

Provider details

NPI number
Authorized official
CELESTIAL LORENE SCOTT (EXECUTIVE DIRECTOR)
(310) 482-9392
Entity
Organization

Contact information

Practice address
11850 S NORMANDIE AVE, LOS ANGELES, CA 90044-1222
(310) 345-0313
Mailing address
1500 ROSECRANS AVE STE 500, MANHATTAN BEACH, CA 90266-3771
(310) 482-9392

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
03/25/2024
Last updated
03/25/2024
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