Organization · Type 2 NPI

South Central Residential Care #2

Mental Illness Community Based Residential Treatment Facility · Los Angeles, CA

NPI number 1912225855 Active

Practice location

1551 W 80th St
Los Angeles, CA 90047-2839

Fax (323) 231-4544

Specialties and licenses

Taxonomy	Code	License
Mental Illness Community Based Residential Treatment Facility Primary	320800000X	198202126 (CA)

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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NPI record

NPI: 1912225855
Entity type: Organization (Type 2)
Issued: May 15, 2010
Last updated: Dec 27, 2010
Status: Active
Subpart: Yes of South Central Residential Care

Other names

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South Central Residential Care · former legal business name

Authorized official

Ms. Thelma Elrean Williams, 02/10/1947
Pres/ceo
(323) 233-3553

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About NPI 1912225855

South Central Residential Care #2's National Provider Identifier is 1912225855, issued on May 15, 2010. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Los Angeles, CA. The record was last updated on Dec 27, 2010.