Organization
INCREDIBLY INSPIRATIONAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHERINE ELAINE ERICKSON LCSW (CEO)
(562) 743-2389
Entity
Organization
Contact information
Practice address
2009 PALO VERDE AVE STE A, LONG BEACH, CA 90815-3322
(562) 743-2389
Mailing address
6305 E ELIOT ST, LONG BEACH, CA 90803-2205
(562) 743-2389
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LCS 16061
CA
Other
Enumeration date
05/28/2015
Last updated
05/28/2015
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