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A HOME FOR US FOUNDATION INCORPORATED

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ADRIANNE MARCIA MOORE M.A., M FTI (EXECUTIVE DIRECTOR)
(323) 348-4134
Entity
Organization

Contact information

Practice address
5010 11TH AVE, ROOM 106 & 104, LOS ANGELES, CA 90043-4816
(323) 348-4134
(323) 292-5543
Mailing address
3817 2ND AVE, LOS ANGELES, CA 90008-1901
(323) 348-4134
(323) 292-5543

Taxonomy

Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
190449AN
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1437362647
DRUG MEDI CAL
CA
Enumeration date
08/08/2010
Last updated
12/22/2010
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