Organization
FIVE ACRES- THE BOYS' AND GIRLS' AID SOCIETY OF LOS ANGELES COUNTY
Active
Parent organization
FIVE ACRES
Other names
Five Acres
Organization subpart
Yes
Provider details
NPI number
Legal business name
FIVE ACRES
Authorized official
SHAULON SHANKLIN (DIRECTOR OF CLAIMS OPERATIONS)
(626) 993-3134
Entity
Organization
Contact information
Practice address
760 W. MOUNTAIN VIEW ST, ALTADENA, CA 91001-4925
(626) 798-6793
(626) 792-7722
Mailing address
760 W. MOUNTAIN VIEW ST, ALTADENA, CA 91001-4925
(626) 798-6793
(626) 792-7722
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
08/09/2018
Last updated
08/20/2021
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