Organization
LOS ANGELES ATHLETIC ALTERNATIVE PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TANYA BERENSON (CEO)
(310) 204-1980
Entity
Organization
Contact information
Practice address
8450 HIGUERA ST, CULVER CITY, CA 90232-2520
(310) 204-1980
(310) 204-6484
Mailing address
8450 HIGUERA ST, CULVER CITY, CA 90232-2520
(310) 204-1980
(310) 204-6864
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/16/2014
Last updated
11/09/2016
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