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Organization

LIFECIRCLES GROUP HOME

Active
Other names
Lifecircles Group Home
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MAMIE JOE NELSON (PROGRAM DIRECTOR)
(818) 834-2463
Entity
Organization

Contact information

Practice address
12681 LOUVRE ST, PACOIMA, CA 91331-1239
(818) 256-9451
Mailing address
12681 LOUVRE ST, PACOIMA, CA 91331-1239
(818) 256-9451

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
198207474
CA

Other

Enumeration date
11/07/2016
Last updated
03/15/2017
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