Organization · Type 2 NPI

Deliann-Lucile

Emotionally Disturbed Childrens' Residential Treatment Facility · Los Angeles, CA

NPI number 1306395454 Active

Practice location

5800 Hannum Ave Ste 230
Los Angeles, CA 90230-6553

Call (310) 837-5494 Map

Fax (310) 815-8601

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000X198203559 (CA)

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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About NPI 1306395454

Deliann-Lucile's National Provider Identifier is 1306395454, issued on Sep 30, 2016. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Los Angeles, CA. The record was last updated on Mar 28, 2019.