Organization
BERNIE'S LIL WOMEN CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERNADINE GOUDEAU (CEO)
(213) 280-1012
Entity
Organization
Contact information
Practice address
1115 E ALONDRA BLVD, COMPTON, CA 90221
(213) 280-1012
(323) 249-9026
Mailing address
942 E 11TH STREET, LOS ANGELES, CA 90059-1602
(213) 280-1012
(323) 249-8367
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7118
—
CA
Enumeration date
07/17/2009
Last updated
07/22/2009
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