Organization · Type 2 NPI

Grape Street Community Restoration Inc.

Mental Health Counselor · Los Angeles, CA

NPI number 1619742244 Active

Practice location

10139 Beach St Apt 26A-3
Los Angeles, CA 90002-2978

Call (323) 801-6071 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Professional Counselor 101YP2500XNone listed
Student in an Organized Health Care Education/Training Program 390200000XNone listed

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About NPI 1619742244

Grape Street Community Restoration Inc.'s National Provider Identifier is 1619742244, issued on Nov 27, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Los Angeles, CA. The record was last updated on Nov 27, 2023.