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PRIDE HEALTH SERVICES NPI 1982822995


NPI Information

NPI: 1982822995
Provider Name: PRIDE HEALTH SERVICES

Doing Business As: PRIDE HEALTH SERVICES CRENSHAW

Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
8619 CRENSHAW BLVD
INGLEWOOD, CA
ZIP 90305
Phone: (310) 766-9019
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PRIDE HEALTH SERVICES is an addiction (substance use disorder) counselor in Inglewood, CA. PRIDE HEALTH SERVICES NPI is 1982822995. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pride Health Services Crenshaw.

The provider's business location address is:

8619 CRENSHAW BLVD
INGLEWOOD, CA
ZIP 90305-330
Phone: (310) 766-9019
Fax: (310) 677-9401

The provider's authorized official is Godfrey Nwogene .
The authorized official title is Executive Director and has the following contact phone number (310) 677-9091.

The enumeration date for this NPI number is 4/23/2007 and was last updated on 7/21/2022.


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
1101YA0400XCounselorAddiction (Substance Use Disorder)CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1701231OTHERCALIFORNIADRUG MEDI-CAL

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: 4/28/2024

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