Organization
BASEN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BASSEY ENUN (EXECUTIVE DIRECTOR)
(310) 532-6030
Entity
Organization
Contact information
Practice address
460 CARSON PLAZA DRIVE, STE 106, CARSON, CA 90746
(310) 532-6030
(310) 532-8441
Mailing address
460 E CARSON PLAZA DR, STE 106, CARSON, CA 90746-3228
(310) 532-6030
(310) 532-8441
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/14/2013
Last updated
03/14/2013
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