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NPI 1164623294

NPI 1164623294 : BIENVENIDOS CHILDREN'S CENTER, INC. : LOS ANGELES, CA

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General NPI Number Information
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    NPI Number           |    1164623294
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    Entity Type          |    Organization 
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    Legal Business Name  |    BIENVENIDOS CHILDREN'S CENTER, INC. 
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Dates
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    Enumeration Date     |    05/29/2007
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    5257 E BEVERLY BLVD 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90022-2020
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    Country              |    US
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    Telephone            |    323-201-4154
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    Fax                  |    323-201-4159
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Provider Business Mailing Address
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    Address Line         |    205 E PALM ST 
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    City                 |    ALTADENA
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    State                |    CA
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    Zip                  |    91001-4825
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    Country              |    US
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    Telephone            |    626-798-7222
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    Fax                  |    626-798-8444
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Authorized Official
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    Title or Position    |    INTERIM PRESIDENT & CEO
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    Name                 |     SCHULMAN  JANET 
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    Credential           |    
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    Telephone            |    626-798-7222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    
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    License Number State |    
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