Organization
DYLETTE FAMILY FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOWAR DAVIS (FOUNDER)
(805) 328-0980
Entity
Organization
Contact information
Practice address
1946 RIDGEGATE LN APT L, SIMI VALLEY, CA 93065-2959
(805) 328-0990
Mailing address
PO BOX 940531, SIMI VALLEY, CA 93094-0531
(805) 328-0980
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
04/14/2025
Last updated
04/14/2025
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