Organization
CUSTOM LIFE SOLUTIONS INC.
Active
Other names
Custom Life Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES WALKER LCSW (OWNER/ LICENSED THERAPIST)
(562) 454-1028
Entity
Organization
Contact information
Practice address
3605 LONG BEACH BLVD STE 321, LONG BEACH, CA 90807-4025
(562) 454-1028
Mailing address
3605 LONG BEACH BLVD STE 321, LONG BEACH, CA 90807-4025
(562) 454-1028
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/25/2023
Last updated
04/25/2023
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