Individual provider · NPI-1
Christopher C Brown
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · Los Angeles, CA
NPI number1427899376
StatusActive
Last updated in NPPESJun 4, 2024
Details
- NPI
- 1427899376
- Entity type
- Individual (NPI-1)
- Name
- Christopher C Brown
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 4, 2024
- Certification date
- Jun 4, 2024
- Last updated
- Jun 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Practice location
8010 S Figueroa StLos Angeles, CA 90003-2721
Phone 323-241-7040 · Fax 323-299-8112
Mailing address
1200 S Figueroa St # E3307Los Angeles, CA 90015-1392
Phone 323-241-7040
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