Organization
UPWARD BOUND HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA BROWN (DIRECTOR OF ADMINISTRATION)
(310) 458-7779
Entity
Organization
Contact information
Practice address
1104 WASHINGTON AVE, SANTA MONICA, CA 90403-4119
(310) 458-7779
(310) 458-7289
Mailing address
1104 WASHINGTON AVE, SANTA MONICA, CA 90403-4119
(310) 458-7779
(310) 458-7289
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251X00000X
Supports Brokerage Agency
Primary
—
—
Other
Enumeration date
06/24/2024
Last updated
04/03/2026
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