Organization
BERNIE'S LIL WOMEN CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BERNADINE GOUDEAU (PRESIDENT/CEO)
(213) 280-1012
Entity
Organization
Contact information
Practice address
8042 YOLANDA AVE, RESEDA, CA 91335-1257
(213) 280-1012
(323) 563-7087
Mailing address
942 E 116TH ST, LOS ANGELES, CA 90059-1602
(213) 280-1012
(323) 563-7087
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
190472AN
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7118
—
CA
Enumeration date
12/22/2005
Last updated
08/22/2020
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