Organization
FIVE ACRES- THE BOYS' AND GIRLS' AID SOCIETY OF LOS ANGELES COUNTY
Active
Other names
Five Acres STRTP Colby
Organization subpart
No
Provider details
NPI number
Authorized official
SHAULON SHANKLIN (DIRECTOR OF CLAIMS OPERATION)
(626) 993-3134
Entity
Organization
Contact information
Practice address
704 W. MOUNTAIN VIEW ST., ALTADENA, CA 91001-4925
(626) 798-6793
Mailing address
760 W. MOUNTAIN VIEW ST, ALTADENA, CA 91001-4925
(626) 798-6793
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/23/2021
Last updated
09/13/2021
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