Organization
DEVELOP - ACHIEVE - SUCCEED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIVINITY SARDIN LCSW (OWNER/MANAGER)
(323) 252-1859
Entity
Organization
Contact information
Practice address
1225 W 190TH ST, GARDENA, CA 90248-4320
(323) 443-8860
Mailing address
8517 ELBURG ST UNIT D, PARAMOUNT, CA 90723-2884
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/03/2025
Last updated
11/03/2025
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