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1417186701 NPI number — HEALTHY INDIVIDUALS AND FAMILY SERVICES

NPI Number: 1417186701
Health Care Provider/Practitioner: HEALTHY INDIVIDUALS AND FAMILY SERVICES

Information about “1417186701” NPI (HEALTHY INDIVIDUALS AND FAMILY SERVICES) exists in 1417186701 in HTML format HTML  |  1417186701 in plain Text format TXT  |  1417186701 in PDF (Portable Document Format) PDF  |  1417186701 in an XML format XML  formats.

NPI Number : 1417186701 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1417186701",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "HEALTHY INDIVIDUALS AND FAMILY SERVICES",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "12440 FIRESTONE BLVD",
    "SecondLineMailingAddress": "SUITE 116",
    "MailingAddressCityName": "NORWALK",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90650-4328",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "310-946-8096",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "12440 FIRESTONE BLVD",
    "SecondLinePracticeLocationAddress": "SUITE 116",
    "PracticeLocationAddressCityName": "NORWALK",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90650-4328",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "310-946-8096",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/08/2009",
    "LastUpdateDate": "07/08/2009",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "THEUS",
    "AuthorizedOfficialFirstName": "SALMA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "MENTAL HEALTH THERAPIST  INTERN",
    "AuthorizedOfficialNamePrefix": "MS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MS MFT",
    "AuthorizedOfficialTelephoneNumber": "310-946-8096",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "320800000X",
        "TaxonomyName": "Mental Illness Community Based Residential Treatment Facility",
        "LicenseNumber": "59562",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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