Organization
C-CONRAD GROUP LIMITED
Active
Parent organization
1932320322
Organization subpart
Yes
Provider details
NPI number
Legal business name
1932320322
Authorized official
MS. CYNTHIA MARSHALL (EXECUTIVE DIRECTOR)
(310) 410-0278
Entity
Organization
Contact information
Practice address
350 EAST AVENUE K-4, LANCASTER, CA 93535
(310) 410-0278
Mailing address
8929 S SEPULVEDA BLVD, SUITE 410, LOS ANGELES, CA 90045-3616
(310) 410-0278
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
05/11/2009
Last updated
05/11/2009
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