Organization
ASC TREATMENT GROUP
Active
Other names
Anne Sippi Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DONETTA JACKSON MFT (ADMINISTRATOR)
(323) 318-2520
Entity
Organization
Contact information
Practice address
2457 ENDICOTT ST, LOS ANGELES, CA 90032-3098
(323) 227-5252
Mailing address
2457 ENDICOTT ST, LOS ANGELES, CA 90032-3047
(323) 227-5252
(323) 227-9032
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/25/2020
Last updated
03/25/2020
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