Organization
HOMELESS OUTREACH PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYDIA DE LEON (COUNSOLER)
(213) 626-6411
Entity
Organization
Contact information
Practice address
11015 BLOOMFIELD AVE, SANTA FE SPRINGS, CA 90670-4601
(562) 906-2681
Mailing address
11015 BLOOMFIELD AVE, SANTA FE SPRINGS, CA 90670-4601
(562) 906-2681
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
190100BN
CA
Other
Enumeration date
05/14/2007
Last updated
08/22/2020
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