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KEY MENTORING NPI 1588151484


NPI Information

NPI: 1588151484
Provider Name: KEY MENTORING

Former Legal Business Name: KEY MENTORING

Classification: Substance Abuse Rehabilitation Facility - 3245S0500X
Entity Type: Organization

Specialization: Substance Abuse Treatment, Children

Address:
11727 BARRINGTON CT STE 209
LOS ANGELES, CA
ZIP 90049
Phone: (310) 600-5658
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KEY MENTORING is a substance abuse treatment and children substance abuse rehabilitation facility in Los Angeles, CA. The provider is a facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. KEY MENTORING NPI is 1588151484. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Key Mentoring.

The provider's business location address is:

11727 BARRINGTON CT STE 209
LOS ANGELES, CA
ZIP 90049-902
Phone: (310) 600-5658

The provider's authorized official is Ryan Blivas .
The authorized official title is Coo and has the following contact phone number (310) 600-5658.

The enumeration date for this NPI number is 4/16/2018 and was last updated on 4/16/2018.


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
1261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
23245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, ChildrenYes

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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