Organization
CONCISE CARE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANNON MELLISA MITCHELL (CEO/CFO/SEC)
(323) 529-3269
Entity
Organization
Contact information
Practice address
145 N PRAIRE AVE, INGLEWOOD, CA 90301-1904
(323) 529-3269
(323) 545-3156
Mailing address
145 N PRAIRIE AVE, INGLEWOOD, CA 90301-1904
(323) 529-3269
(323) 545-3156
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251X00000X
Supports Brokerage Agency
—
—
Other
Enumeration date
01/03/2019
Last updated
01/05/2019
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