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Active
Organization subpart
No

Provider details

NPI number
Authorized official
RENITA WHITE (EXECUTIVE DIRECTOR)
(424) 227-6969
Entity
Organization

Contact information

Practice address
11222 S LA CIENEGA BLVD, SUITE 311, INGLEWOOD, CA 90304-1109
(424) 227-6969
Mailing address
11222 S LA CIENEGA BLVD, SUITE 311, INGLEWOOD, CA 90304-1109

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary

Other

Enumeration date
05/08/2013
Last updated
05/08/2013
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