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General NPI Number Information
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NPI Number | 1144581760
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Entity Type | Organization
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Legal Business Name | HOPE ALIVE COUNSELING CENTERS LLC
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Dates
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Enumeration Date | 05/30/2012
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Last Update Date | 11/07/2023
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Provider Practice Location Address
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Address Line | 1301 E COMPTON BLVD STE 202&203
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City | COMPTON
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State | CA
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Zip | 90221-3401
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Country | US
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Telephone | 310-710-2280
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Fax |
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Provider Business Mailing Address
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Address Line | 4242 LAVINIA AVE
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City | LYNWOOD
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State | CA
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Zip | 90262-4543
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Country | US
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Telephone | 310-710-2280
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | CHANDRA KAY ROBINSON
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Credential |
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Telephone | 310-710-2280
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0401X
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Taxonomy Name | Comprehensive Outpatient Rehabilitation Facility (CORF)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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