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Organization subpart
No

Provider details

NPI number
Authorized official
WANDA BREWER (CEO)
(323) 400-8867
Entity
Organization

Contact information

Practice address
10206 ENGLAND AVE STE 6, INGLEWOOD, CA 90303-1345
(323) 400-8867
Mailing address
10206 ENGLAND AVE STE 6, INGLEWOOD, CA 90303-1345
(323) 400-8867

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency
Primary
324500000X
Substance Abuse Rehabilitation Facility

Other

Enumeration date
12/20/2025
Last updated
12/20/2025
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