Organization
A PLACE TO HEAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAKECIA HIGGINBOTHAM (EXECUTIVE DIRECTOR)
(310) 292-8796
Entity
Organization
Contact information
Practice address
7868 S WESTERN AVE, LOS ANGELES, CA 90047-2727
(310) 292-8796
Mailing address
7868 S WESTERN AVE, LOS ANGELES, CA 90047-2727
(310) 292-8796
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
09/18/2020
Last updated
02/23/2021
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