Organization
BOWLAY REHABILITATION CENTERS, INC.
Active
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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