Organization
SINGLETON HOUSING PROJECT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONI YVONNE POWELL MSW (PRESIDENT)
(323) 327-8677
Entity
Organization
Contact information
Practice address
5029 S VERMONT AVE, TEEN CENTER, LOS ANGELES, CA 90037-2907
(323) 327-8677
(323) 735-5387
Mailing address
1897 W JEFFERSON BLVD STE A, LOS ANGELES, CA 90018-3434
(323) 730-0775
(323) 735-5387
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
190581AN
CA
101YM0800X
Mental Health Counselor
190581AN
CA
251K00000X
Public Health or Welfare Agency
Primary
190581AN
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487847018
MEDI-CAL
CA
Enumeration date
06/04/2013
Last updated
06/04/2013
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