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Organization

BLUME BEHAVIORAL HEALTH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BASEL SHADFAN (CEO)
(858) 692-7742
Entity
Organization

Contact information

Practice address
2403 PERKINS LN, REDONDO BEACH, CA 90278-2616
(858) 692-7742
(772) 873-9997
Mailing address
2403 PERKINS LN, REDONDO BEACH, CA 90278-2616
(858) 692-7742
(772) 873-9997

Taxonomy

Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary

Other

Enumeration date
02/07/2024
Last updated
02/12/2024
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