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Organization

HAILEY'S WAY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT SMITH III (EXECUTIVE DIRECTOR)
(818) 277-1333
Entity
Organization

Contact information

Practice address
2043 GLENOAKS BLVD, SAN FERNANDO, CA 91340-1624
(818) 277-1333
Mailing address
18039 CHATSWORTH ST UNIT 3241, GRANADA HILLS, CA 91344-5608
(818) 277-1333

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
12/09/2025
Last updated
12/09/2025
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