Organization
LADAWN REHABILITATION AND BEHAVIORAL HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLESSING OMORUYI (OWNER)
(323) 674-3445
Entity
Organization
Contact information
Practice address
1229 W 164TH ST APT D, GARDENA, CA 90247-4859
(323) 674-3445
Mailing address
1229 W 164TH ST APT D, GARDENA, CA 90247-4859
(323) 674-3445
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/21/2025
Last updated
02/21/2025
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