Organization · Type 2 NPI

St. Joseph Center

Community/Behavioral Health Agency · Santa Monica, CA

NPI number 1043416993 Active

Practice location

1527 4th St Fl 2
Santa Monica, CA 90401

Fax (310) 576-2499

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…

5 other providers at this address

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NPI record

NPI: 1043416993
Entity type: Organization (Type 2)
Issued: Jun 26, 2007
Last updated: Jul 2, 2018
Status: Active
Subpart: Yes of St. Joseph Center

Other names

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St. Joseph Center - Wise & Healthy Aging · other name
St. Joseph Center - Wise & Healthy Aging · other name

Authorized official

Dr. Va Lecia Adams Kellum, PhD
President & CEO
(310) 396-6468

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1043416993

St. Joseph Center's National Provider Identifier is 1043416993, issued on Jun 26, 2007. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Santa Monica, CA. The record was last updated on Jul 2, 2018.