Organization
BEHAVIORAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA DE JESUS ROBLES AOD COUNSELOR (COUNSELOR II)
(310) 679-9031
Entity
Organization
Contact information
Practice address
15519 CRENSHAW BLVD, GARDENA, CA 90249-4525
(310) 679-9031
(310) 679-9034
Mailing address
15519 CRENSHAW BLVD., GARDENA, CA 90249
(310) 679-9031
(310) 679-9034
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
104561-CCBCDC
CA
Other
Enumeration date
09/07/2011
Last updated
09/07/2011
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