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Organization

INNERCHANGE OPI, LLC

Active
Parent organization
INNERCHANGE OPI, LLC
Other names
OPI STR
Organization subpart
Yes

Provider details

NPI number
Legal business name
INNERCHANGE OPI, LLC
Authorized official
SHARNELL SPENCER (CREDENTIALING MANAGER)
(661) 239-6923
Entity
Organization

Contact information

Practice address
6123 WOODLAKE AVE, WOODLAND HILLS, CA 91367-3240
(818) 610-3956
Mailing address
5500 MING AVE STE 410, BAKERSFIELD, CA 93309-4631
(661) 622-4132

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary

Other

Enumeration date
12/19/2022
Last updated
04/10/2025
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