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General NPI Number Information
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NPI Number | 1255813689
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Entity Type | Organization
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Legal Business Name | CHRIST-CENTERED MINISTRIES
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Dates
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Enumeration Date | 09/01/2018
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Last Update Date | 03/02/2024
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Provider Practice Location Address
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Address Line | 159 W 110TH ST
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City | LOS ANGELES
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State | CA
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Zip | 90061-2013
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Country | US
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Telephone | 562-331-9452
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Fax |
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Provider Business Mailing Address
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Address Line | 742 N. LA BREA AVE
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City | INGLEWOOD
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State | CA
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Zip | 90302
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Country | US
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Telephone | 310-672-4078
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Fax |
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Authorized Official
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Title or Position | PROJECT DIRECTOR
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Name | JAMEESE B SMITH
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Credential |
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Telephone | 310-672-4078
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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