Organization
BOWLAY REHABILITATION CENTERS, INC.
Active
Other names
Bowlay Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY KHAKI CAADAC II (DIR. CLINICAL SERVICES)
(323) 243-2949
Entity
Organization
Contact information
Practice address
439 W COMPTON BLVD, COMPTON, CA 90220-3008
(310) 919-5978
Mailing address
439 W COMPTON BLVD, COMPTON, CA 90220-3008
(310) 919-5978
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
190791-AP
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
197571
CAL-OHMS NUMBER
CA
01
—
19DA
DMC PROVIDER NUMBER 19DA
CA
Enumeration date
05/09/2013
Last updated
06/08/2016
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