Organization
DELIANN-LUCILE
Active
Other names
DeliLu Achievement Home
Organization subpart
No
Provider details
NPI number
Authorized official
MARY L DAVIS (CEO/FOUNDER)
(310) 215-8900
Entity
Organization
Contact information
Practice address
5800 HANNUM AVE STE 230, LOS ANGELES, CA 90230-6553
(310) 837-5494
(310) 815-8601
Mailing address
5800 HANNUM AVE STE 230, LOS ANGELES, CA 90230-6553
(310) 215-8900
(310) 215-8907
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
198203559
CA
Other
Enumeration date
09/30/2016
Last updated
03/28/2019
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