Organization
LEVITATE PSYCHIATRIC NURSING SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAOBI JUDITH AFONTA NP (CEO)
(818) 743-2041
Entity
Organization
Contact information
Practice address
2292 FARADAY AVE STE 100, CARLSBAD, CA 92008-7238
(818) 743-2041
Mailing address
21213B HAWTHORNE BLVD # 1041, TORRANCE, CA 90503-5501
(818) 743-2041
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/23/2021
Last updated
07/23/2021
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