Organization
LINDA FORSTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA LOUISE FORSTER (CLINICAL SOCIAL WORKER)
(323) 365-0487
Entity
Organization
Contact information
Practice address
2501 W EL SEGUNDO BLVD, HAWTHORNE, CA 90250-3317
(310) 679-9126
Mailing address
PO BOX 6697, ALTADENA, CA 91003-6697
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
65532
CA
Other
Enumeration date
05/25/2016
Last updated
05/25/2016
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