Organization
BELOVED ONES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THANDI SMITH (EXECUTIVE DIRECTOR)
(661) 434-8759
Entity
Organization
Contact information
Practice address
21340 N CHARLENE PL, CALIFORNIA CITY, CA 93505-5903
(442) 247-7215
Mailing address
21340 N CHARLENE PL, CALIFORNIA CITY, CA 93505-5903
(442) 247-7215
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/04/2022
Last updated
10/04/2022
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