Organization
BEHAVIORAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTINE YVETTE COBOS COUNSELOR III (PROGRAM DIRECTOR)
(310) 579-5047
Entity
Organization
Contact information
Practice address
25911 HILLWORTH AVE, LOMITA, CA 90717-2316
(310) 579-5047
Mailing address
25911 HILLWORTH AVE, LOMITA, CA 90717-2316
(310) 579-5047
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
101YA0400X
CA
Other
Enumeration date
10/21/2015
Last updated
10/21/2015
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