Organization
CITY OF GARDENA
Active
Other names
Gardena Socialization & Activity Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAYNE S. WAKUTA (RECREATION THERAPIST)
(310) 217-9552
Entity
Organization
Contact information
Practice address
2320 W 149TH ST, GARDENA, CA 90249-3702
(310) 217-9537
(310) 217-6117
Mailing address
1670 W 162ND ST, GARDENA, CA 90247-3734
(310) 217-9552
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/31/2007
Last updated
12/11/2020
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