Organization
FAMILY INTERVENTION CENTER & SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES SEWELL (CREDNETIALING)
(402) 250-8989
Entity
Organization
Contact information
Practice address
5230 CLARK AVE STE 14, LAKEWOOD, CA 90712-2644
(562) 461-9446
Mailing address
5230 CLARK AVE STE 14, LAKEWOOD, CA 90712-2644
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
01/26/2023
Last updated
01/26/2023
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