Deliann-Lucile Corporation
Residential Treatment Facility, Emotionally Disturbed Children in Los Angeles, CA. Organization (NPI-2).
NPI number1982147922
StatusActive
Last updated in NPPESDec 16, 2019
Details
- NPI
- 1982147922
- Entity type
- Organization (NPI-2)
- Legal business name
- Deliann-Lucile Corporation
- Organization subpart
- No
- Enumeration date
- Nov 23, 2016
- Certification date
- Dec 16, 2019
- Last updated
- Dec 16, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | – | – | Yes |
Other names
- Delilu Achievement Home 2 (Other Name)
Practice location
2122 W 107th StLos Angeles, CA 90047-4305
Phone 323-696-9749 · Fax 323-696-9508
Mailing address
5731 W Slauson Ave Ste 210Culver City, CA 90230-6982
Phone 310-215-8900 · Fax 310-215-8907
Authorized official
Mary L Davis
Ceo
3102158900
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