Organization
SUBSTANCE ABUSE FOUNDATION OF LONG BEACH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY I ROMO (EXECUTIVE DIRECTOR)
(562) 987-5722
Entity
Organization
Contact information
Practice address
3125 E 7TH ST, LONG BEACH, CA 90804-4932
(562) 987-5722
(562) 987-4586
Mailing address
3125 E 7TH ST, LONG BEACH, CA 90804-4932
(562) 987-5722
(562) 987-4586
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33-0355130
—
CA
Enumeration date
02/23/2011
Last updated
02/23/2011
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