Organization · Type 2 NPI

Deliann-Lucile

Emotionally Disturbed Childrens' Residential Treatment Facility · Culver City, CA

NPI number 1730623547 Active

Practice location

5800 Hannum Ave Ste A230
Culver City, CA 90230-6560

Fax (310) 215-8907

Mailing address

5800A Hannum Avenue Suit 230
Culver City, CA 90230

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000XNone listed

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 1730623547

Deliann-Lucile's National Provider Identifier is 1730623547, issued on Dec 13, 2016. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Culver City, CA. The record was last updated on Mar 15, 2017.