Organization
LAT INTENSIVE OUTPATIENT PROGRAMS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA K SAMPSON (C.O.O)
(310) 572-7000
Entity
Organization
Contact information
Practice address
4551 GLENCOE AVE, SUITE 255, MARINA DEL REY, CA 90292
(310) 572-7000
(310) 943-2293
Mailing address
4551 GLENCOE AVE, SUITE 255, MARINA DEL REY, CA 90292
(310) 572-7000
(310) 943-2293
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/10/2014
Last updated
06/24/2021
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