Organization
TRINITY IN HIS HOUSE FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WENDELL J DAVIS SR. PHD (EXECUTIVE DIRECTOR)
(909) 234-7567
Entity
Organization
Contact information
Practice address
1806 E COMPTON BLVD, COMPTON, CA 90221-3543
(909) 234-7567
(310) 763-3865
Mailing address
1806 E COMPTON BLVD, COMPTON, CA 90221-3543
(323) 750-0092
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
251B00000X
Case Management Agency
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
03/15/2010
Last updated
03/15/2010
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