Healthcare Provider Details

I. General information

NPI: 1861360133
Provider Name (Legal Business Name): 7 ALPHA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2025
Last Update Date: 11/07/2025
Certification Date: 11/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37025 LA CONTEMPO AVE
PALMDALE CA
93550-7351
US

IV. Provider business mailing address

223 LAKEVIEW DR
PALMDALE CA
93551-7933
US

V. Phone/Fax

Practice location:
  • Phone: 661-405-9792
  • Fax:
Mailing address:
  • Phone: 661-405-9792
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. LUQMAN YUSEF WATKINS
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 818-319-0650