Organization
HOUSING 1BY1
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NORRIS R JONES (CHAIRMAN)
(818) 568-0090
Entity
Organization
Contact information
Practice address
1815 W 36TH ST, LOS ANGELES, CA 90018-3814
(818) 568-0090
Mailing address
1815 W 36TH ST, LOS ANGELES, CA 90018-3814
(310) 738-1033
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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