Healthcare Provider Details

I. General information

NPI: 1487847018
Provider Name (Legal Business Name): SINGLETON HOUSING PROJECT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2007
Last Update Date: 08/27/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1897 W JEFFERSON BLVD STE A
LOS ANGELES CA
90018-3434
US

IV. Provider business mailing address

1897 W JEFFERSON BLVD STE A
LOS ANGELES CA
90018-3434
US

V. Phone/Fax

Practice location:
  • Phone: 323-735-2390
  • Fax:
Mailing address:
  • Phone: 323-735-2390
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3245S0500X
TaxonomyChildren's Substance Abuse Rehabilitation Facility
License Number
License Number StateCA

VIII. Authorized Official

Name: MS. RHONDA LORAINE SINGLETON
Title or Position: CEO
Credential:
Phone: 323-898-7133