Organization
STEP UP ON SECOND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD PARKER (STREET OUTREACH COORDINATOR)
(310) 394-6889
Entity
Organization
Contact information
Practice address
1328 2ND ST, SANTA MONICA, CA 90401-1122
(310) 394-6889
(310) 395-0749
Mailing address
1328 2ND ST, SANTA MONICA, CA 90401-1122
(310) 394-6889
(310) 395-0749
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
12/03/2007
Last updated
10/16/2008
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