Organization
FIVE ACRES- THE BOYS' AND GIRLS' AID SOCIETY OF LOS ANGELES COUNTY
Active
Other names
Five Acres
Organization subpart
No
Provider details
NPI number
Authorized official
SHAULON SHANKLIN (DIRECTOF OF CLAIMS OPERATIONS)
(626) 798-9763
Entity
Organization
Contact information
Practice address
7356 PAINTER AVE, 102, WHITTIER, CA 90602-1853
(626) 798-6793
Mailing address
760 MOUNTAIN VIEW ST, ALTADENA, CA 91001-4925
(626) 798-6793
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
—
—
251B00000X
Case Management Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
03/26/2015
Last updated
10/10/2018
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