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Organization

GREENFIELDS HEALTH SERVICES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CLIFFORD VINCE KEITH DEPLOMA (ALCOHOL AND DRUG COUNSELOR)
(323) 901-2166
Entity
Organization

Contact information

Practice address
637 E ALBERTONI ST STE 109, CARSON, CA 90746-1543
(424) 204-2703
(310) 626-9754
Mailing address
637 E ALBERTONI ST STE 109, CARSON, CA 90746-1543
(424) 204-2703
(310) 626-9754

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
190600AP
CA
324500000X
Substance Abuse Rehabilitation Facility
CA

Other

Enumeration date
08/11/2009
Last updated
07/21/2022
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