Organization
GREENFIELDS PROGRAM SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MERCY ZAMANI-NWEKE (DIRECTOR)
(323) 401-8910
Entity
Organization
Contact information
Practice address
637 E ALBERTONI ST STE 109, CARSON, CA 90746-1543
(310) 532-0063
Mailing address
637 E ALBERTONI ST STE 109, CARSON, CA 90746-1543
(310) 532-0063
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
02/13/2024
Last updated
02/13/2024
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