Organization · NPI-2
California Institute Of Health & Social Services, INC.
Community/Behavioral Health · Gardena, CA
NPI number1053057216
StatusActive
Last updated in NPPESJun 17, 2022
Details
- NPI
- 1053057216
- Entity type
- Organization (NPI-2)
- Legal business name
- California Institute Of Health & Social Services, INC.
- Organization subpart
- No
- Enumeration date
- May 10, 2022
- Certification date
- Jun 17, 2022
- Last updated
- Jun 17, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Other names
- Alafia Mental Health Institute (Doing Business As)
Practice location
555 W Redondo Beach Blvd # 215Gardena, CA 90248-1612
Phone 310-352-6422
Mailing address
8929 S Sepulveda Blvd Ste 201Los Angeles, CA 90045-3643
Phone 310-645-5227 · Fax 310-645-9840
Authorized official
Cynthia Marshall
Director Of Program Administration
3106455227
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