Organization
COMPTON MENTAL HEALTH FSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BUFORD TANNIEHILL (COMMUNITY WORKER)
(310) 885-2108
Entity
Organization
Contact information
Practice address
2137 5TH AVE, LOS ANGELES, CA 90018-1166
(310) 668-3377
Mailing address
2137 5TH AVE, LOS ANGELES, CA 90018-1166
Taxonomy
Speciality
Code
Description
License number
State
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
Primary
—
—
Other
Enumeration date
11/29/2006
Last updated
12/04/2007
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