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NPI 1528353539

NPI 1528353539 : FAMILIES FOR CHILDREN, INC. : INGLEWOOD, CA

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General NPI Number Information
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    NPI Number           |    1528353539
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    Entity Type          |    Organization 
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    Legal Business Name  |    FAMILIES FOR CHILDREN, INC. 
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Dates
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    Enumeration Date     |    06/17/2011
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    Last Update Date     |    11/07/2019
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Provider Practice Location Address
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    Address Line         |    2504 W MANCHESTER BLVD 
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    City                 |    INGLEWOOD
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    State                |    CA
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    Zip                  |    90305-2520
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    Country              |    US
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    Telephone            |    310-750-5855
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    Fax                  |    310-750-5885
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Provider Business Mailing Address
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    Address Line         |    2500 W MANCHESTER BLVD 
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    City                 |    INGLEWOOD
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    State                |    CA
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    Zip                  |    90305-2520
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    Country              |    US
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    Telephone            |    310-750-5855
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    Fax                  |    310-750-5885
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Authorized Official
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    Title or Position    |    EXECUTIVE DIRECTOR
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    Name                 |    MR. ANDREW  HENDERSON 
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    Credential           |    MS
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    Telephone            |    310-750-5855
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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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