Organization
MOMENTUM IOP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATARINA SVENSSON (OWNER)
(310) 741-7199
Entity
Organization
Contact information
Practice address
3101 WASHINGTON BLVD STE B, MARINA DEL REY, CA 90292-5577
(310) 741-7199
Mailing address
3101 WASHINGTON BLVD STE B, MARINA DEL REY, CA 90292-5577
(310) 741-7199
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
07/31/2020
Last updated
07/31/2020
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