Organization · Type 2 NPI

Fly Like An Eagle Outreach, Inc.

Peer Specialist · Long Beach, CA

NPI number 1972332674 Active

Practice location

120 E 3rd St # 208
Long Beach, CA 90802-3138

Call (310) 945-8305 Map

Mailing address

120 E 3rd St Ste 208
Long Beach, CA 90802-3138

Other practice locations

3317 E 8th St, Long Beach, CA 90804-5008 · (310) 945-8305

Specialties and licenses

Taxonomy	Code	License
Peer Specialist Primary	175T00000X	None listed
Local Education Agency (LEA)	251300000X	None listed
Case Management Agency	251B00000X	None listed
Developmentally Disabled Services Day Training Agency	251C00000X	None listed
Community/Behavioral Health Agency	251S00000X	None listed
PACE Provider Organization	251T00000X	None listed
In Home Supportive Care Agency	253Z00000X	None listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Other peer specialist providers in Long Beach

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NPI record

NPI: 1972332674
Entity type: Organization (Type 2)
Issued: Jul 31, 2024
Last updated: Oct 19, 2026
Status: Active

Other names

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Fly Like An Eagle Outreach, Inc. · doing business as
Fly Like An Eagle Outreach, Inc. · doing business as

Authorized official

Jolly Glover
Executive Director
(310) 945-8305

Verify this record

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 1972332674

Fly Like An Eagle Outreach, Inc.'s National Provider Identifier is 1972332674, issued on Jul 31, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Long Beach, CA. The record was last updated on Oct 19, 2026.