Organization
LIBERTY BEHAVIORAL & COMMUNITY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LADALE JACKSON (CEO)
(310) 910-0406
Entity
Organization
Contact information
Practice address
5601 W SLAUSON AVE STE 130, CULVER CITY, CA 90230-6576
(310) 345-6651
Mailing address
5601 W SLAUSON AVE STE 130, CULVER CITY, CA 90230-6576
(310) 345-6651
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/08/2022
Last updated
07/19/2024
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