Healthcare Provider Details
I. General information
NPI: 1184668410
Provider Name (Legal Business Name): NARCOTICS PREVENTION ASSOCIATION INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/16/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
942 S ATLANTIC BLVD
LOS ANGELES CA
90022-4004
US
IV. Provider business mailing address
942 S ATLANTIC BLVD
LOS ANGELES CA
90022-4004
US
V. Phone/Fax
- Phone: 323-263-9700
- Fax: 323-263-8042
- Phone: 323-263-9700
- Fax: 323-263-8042
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | CA |
VIII. Authorized Official
Name:
LUIS
C
MONTES
Title or Position: EXECUTIVE DIRECTOR
Credential: B.S.W.
Phone: 323-263-9700