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SOUTH CENTRAL RESIDENTIAL CARE #2 NPI 1912225855


NPI Information

NPI: 1912225855
Provider Name: SOUTH CENTRAL RESIDENTIAL CARE #2

Former Legal Business Name: SOUTH CENTRAL RESIDENTIAL CARE

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
1551 W 80TH ST
LOS ANGELES, CA
ZIP 90047
Phone: (323) 233-3553
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SOUTH CENTRAL RESIDENTIAL CARE #2 is a community based residential treatment facility mental illness in Los Angeles, CA. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. SOUTH CENTRAL RESIDENTIAL CARE #2 NPI is 1912225855. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is South Central Residential Care.

The provider's business location address is:

1551 W 80TH ST
LOS ANGELES, CA
ZIP 90047-839
Phone: (323) 233-3553
Fax: (323) 231-4544

The provider's authorized official is Thelma Elrean Williams .
The authorized official title is Pres/ceo and has the following contact phone number (323) 233-3553.

The enumeration date for this NPI number is 5/15/2010 and was last updated on 12/27/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320800000XCommunity Based Residential Treatment Facility, Mental Illness198202126CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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