Organization
ST. JOSEPH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VA LECIA ADAMS KELLUM PH.D. (EXECUTIVE DIRECTOR)
(310) 396-6468
Entity
Organization
Contact information
Practice address
1848 LINCOLN BLVD, SUITE 100, SANTA MONICA, CA 90404-4580
(310) 396-6556
(310) 396-8437
Mailing address
1848 LINCOLN BLVD, SUITE 100, SANTA MONICA, CA 90404-4580
(310) 396-6556
(310) 396-8437
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
12/24/2009
Last updated
02/05/2015
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