Organization · Type 2 NPI

Live Individuate Vibrate Evolve and Expand - Live

Community/Behavioral Health Agency · Pomona, CA

NPI number 1043049182 Active

Practice location

1554 Sout Garey Ave, Apt C
Pomona, CA 91766-5244

Call (909) 455-7733 Map

Fax (866) 598-3594

Mailing address

PO Box 441
Pomona, CA 91769-0441

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	None listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1043049182

Live Individuate Vibrate Evolve and Expand - Live's National Provider Identifier is 1043049182, issued on Jul 29, 2024. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Pomona, CA. The record was last updated on Jul 29, 2024.