Organization
PROJECT IMPACT INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW ROSS HARRIS (EXECUTIVE DIRECTOR)
(310) 631-9763
Entity
Organization
Contact information
Practice address
2640 INDUSTRY WAY, SUITES G AND H, LYNWOOD, CA 90262-4000
(310) 631-9763
(310) 631-6680
Mailing address
2640 INDUSTRY WAY, SUITES G AND H, LYNWOOD, CA 90262-4000
(310) 631-9763
(310) 631-6680
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/31/2023
Last updated
05/02/2023
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