Organization
A PLACE TO HEAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAKECIA HIGGINBOTHAM (EXECUTIVE DIRECTOR)
(310) 292-8796
Entity
Organization
Contact information
Practice address
137 E 104TH ST, LOS ANGELES, CA 90003-4721
(310) 292-8796
Mailing address
137 E 104TH ST, LOS ANGELES, CA 90003-4721
(310) 292-8796
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
11/30/2020
Last updated
02/23/2021
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