Organization
ASSURED LIFESTYLE HOUSING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANEAR MONTGOMERY (EXECUTIVE DIRECTOR)
(310) 974-3253
Entity
Organization
Contact information
Practice address
219 W 98TH ST, LOS ANGELES, CA 90003-4110
(310) 974-3253
(310) 974-3254
Mailing address
9350 WILSHIRE BLVD STE 203, BEVERLY HILLS, CA 90212-3204
(310) 974-3253
(310) 974-3254
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/03/2023
Last updated
02/03/2023
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