Organization · NPI-2

A Place To Heal INC.

Clinic/Center, Rehabilitation, Substance Use Disorder · Los Angeles, CA

NPI number1487260022

StatusActive

Last updated in NPPESFeb 23, 2021

Details

NPI: 1487260022
Entity type: Organization (NPI-2)
Legal business name: A Place To Heal INC.
Organization subpart: No
Enumeration date: Sep 18, 2020
Certification date: Feb 23, 2021
Last updated: Feb 23, 2021

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
261QR0405X	Clinic/Center, Rehabilitation, Substance Use Disorder	–	–	Yes
251S00000X	Community/Behavioral Health	–	–
261QM0850X	Clinic/Center, Adult Mental Health	–	–
261QM0855X	Clinic/Center, Adolescent and Children Mental Health	–	–
324500000X	Substance Abuse Rehabilitation Facility	–	–

Practice location

7868 S Western Ave
Los Angeles, CA 90047-2727

Phone 310-292-8796

Mailing address

7868 S Western Ave
Los Angeles, CA 90047-2727

Phone 310-292-8796

Authorized official

Lakecia Higginbotham
Executive Director
3102928796

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