Organization
KING COMPASSION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEY LAVERNE KING (CEO)
(661) 717-1070
Entity
Organization
Contact information
Practice address
200 HEWLETT ST, BAKERSFIELD, CA 93309-1511
(661) 717-1070
Mailing address
200 HEWLETT ST, BAKERSFIELD, CA 93309-1511
(661) 717-1070
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
11/11/2024
Last updated
11/11/2024
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