Healthcare Provider Details

I. General information

NPI: 1326312588
Provider Name (Legal Business Name): INVESTING IN BEHAVIORAL SERVICES INTERNATIONAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2012
Last Update Date: 03/05/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

199 CESAR CHAVEZ ST
SAINT PAUL MN
55107-2309
US

IV. Provider business mailing address

199 CESAR CHAVEZ ST
SAINT PAUL MN
55107-2309
US

V. Phone/Fax

Practice location:
  • Phone: 310-430-9473
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3104A0630X
TaxonomyAssisted Living Facility (Behavioral Disturbances)
License Number
License Number State

VIII. Authorized Official

Name: MR. MARCO AURELIO PLASENCIA
Title or Position: PRESIDENT
Credential:
Phone: 310-430-9473