Organization
ABOUNDING RIVERS
Active
Other names
Abounding Rivers
Organization subpart
No
Provider details
NPI number
Authorized official
FAZEELA SHAIKH (CEO)
(310) 810-0027
Entity
Organization
Contact information
Practice address
11751 MISSISSIPPI AVE SUITE 100, LOS ANGELES, CA 90025-6130
(310) 810-0027
Mailing address
11751 MISSISSIPPI AVE, SUITE 100, LOS ANGELES, CA 90025-6130
(310) 801-0027
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/05/2024
Last updated
11/14/2024
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