Healthcare Provider Details

I. General information

NPI: 1710807383
Provider Name (Legal Business Name): COMMUNITY BUILDING HOUSING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 CENTINELA AVE STE 5-M1011
INGLEWOOD CA
90302-1076
US

IV. Provider business mailing address

1601 CENTINELA AVE STE 5-M1011
INGLEWOOD CA
90302-1076
US

V. Phone/Fax

Practice location:
  • Phone: 213-786-6411
  • Fax:
Mailing address:
  • Phone: 213-786-6411
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. JAMILAH MCDOWELL
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: DHS
Phone: 213-786-6411