Pom Poms Castle
Community/Behavioral Health in Los Angeles, CA. Organization (NPI-2).
NPI number1457575136
StatusActive
Last updated in NPPESAug 14, 2008
Details
- NPI
- 1457575136
- Entity type
- Organization (NPI-2)
- Legal business name
- Pom Poms Castle
- Organization subpart
- No
- Enumeration date
- Apr 12, 2007
- Last updated
- Aug 14, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | 7030 | CA | Yes |
Practice location
5135 S Western AveLos Angeles, CA 90062-2333
Phone 323-294-1576
Mailing address
5135 S Western AveLos Angeles, CA 90062-2333
Phone 323-294-1576
Authorized official
Belinda Baker
Executive Director
3232941576
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