Organization
HERITAGE BOARD CARE #3
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE TRINIDAD (CONTACT PERSON)
(562) 714-2154
Entity
Organization
Contact information
Practice address
2900 E 7TH ST, LONG BEACH, CA 90804-4816
(562) 714-2154
Mailing address
2330 E 15TH ST, LONG BEACH, CA 90804-1410
(562) 714-2154
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
306003908
CA
Other
Enumeration date
07/21/2016
Last updated
07/21/2016
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