Organization
DELIANN-LUCILE CORPORATION
Active
Other names
DeliLu Achievement Home 2
Organization subpart
No
Provider details
NPI number
Authorized official
MARY L DAVIS (CEO)
(310) 215-8900
Entity
Organization
Contact information
Practice address
2122 W 107TH ST, LOS ANGELES, CA 90047-4305
(323) 696-9749
(323) 696-9508
Mailing address
5731 W SLAUSON AVE STE 210, CULVER CITY, CA 90230-6982
(310) 215-8900
(310) 215-8907
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/23/2016
Last updated
12/16/2019
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