Organization
NEW SOUTH DEVELOPMENT CORPORATION
Active
Other names
Global Cannabis Collective
Organization subpart
No
Provider details
NPI number
Authorized official
JOY L THOMPSON (EXECUTIVE DIRECTOR)
(800) 305-9894
Entity
Organization
Contact information
Practice address
7301 S BROADWAY, LOS ANGELES, CA 90003-2031
(180) 030-5989
(800) 305-9894
Mailing address
7301 S BROADWAY, LOS ANGELES, CA 90003-2031
18003059894
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
Primary
3752661
CA
253Z00000X
In Home Supportive Care Agency
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992176192
—
CA
Enumeration date
06/26/2017
Last updated
06/16/2018
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